TWI554242B - Pancarpal arthrodesis bone plate - Google Patents

Pancarpal arthrodesis bone plate Download PDF

Info

Publication number
TWI554242B
TWI554242B TW101129299A TW101129299A TWI554242B TW I554242 B TWI554242 B TW I554242B TW 101129299 A TW101129299 A TW 101129299A TW 101129299 A TW101129299 A TW 101129299A TW I554242 B TWI554242 B TW I554242B
Authority
TW
Taiwan
Prior art keywords
perforations
bone
perforation
group
plate body
Prior art date
Application number
TW101129299A
Other languages
Chinese (zh)
Other versions
TW201320953A (en
Inventor
汀默席 霍倫
麥可 科瓦雷斯基
藍迪 鮑卓里奧
艾爾山卓 皮拉斯
布萊恩 比爾
馬克 萊恩
Original Assignee
德派信迪思公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 德派信迪思公司 filed Critical 德派信迪思公司
Publication of TW201320953A publication Critical patent/TW201320953A/en
Application granted granted Critical
Publication of TWI554242B publication Critical patent/TWI554242B/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8052Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
    • A61B17/8057Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Description

全腕關節固定接骨板 Full wrist joint plate

本申請案主張申請於2011件9月6日之美國臨時專利申請案第61/531,243號的權益,其揭示內容全部併入本文作為參考資料。 The application claims the benefit of U.S. Provisional Patent Application Serial No. 61/531,243, filed on Sep. 6, 2011, the entire disclosure of which is hereby incorporated by reference.

四足動物(例如,狗、貓、馬等等)之腕骨的受傷處通常對於保守療法的回應不佳。例如,當腕骨過度伸展(hyperextended)時,深掌腕韌帶(deep palmar carpal ligament)與掌腕纖維軟骨(palmar carpal fibrocartilage)通常不用足夠的強度以自然方式治療以防未來腕骨過度伸展以及相關的痛苦。 Injuries to the carpal bones of quadrupeds (eg, dogs, cats, horses, etc.) often do not respond well to conservative therapies. For example, when the carpal bone is hyperextended, the deep palmar carpal ligament and the palmar carpal fibrocartilage are usually not naturally strong enough to prevent future cartilage overstretching and associated pain. .

作為一例,請參考第1圖,犬科動物的腕骨區20包含橈骨(radius)24與尺骨26,以及對於橈骨24及尺骨26是在遠端的腕骨21。腕骨21包含對於橈骨24及尺骨26是在遠端的多個近端腕骨22以及包含徑向腕骨28與尺側腕骨(ulnar carpal bone)30。腕骨21更包含在遠端與近端腕骨22隔開的多個遠端腕骨32。腕骨區20更包含在遠端與遠端腕骨32隔開的多個掌骨34。例如,腕骨區20可包含第一掌骨34a、第二掌骨34b、第三掌骨34c、第四掌骨34d及第五掌骨34e。當顯示腕骨區必需做關節固定治療時,例如由韌帶或纖維軟骨的外傷引起,通常將接骨板固定至腕骨區20,包括橈骨24、腕骨22及32中之至少一,以及掌骨34中之至少 一(例如,一對掌骨34),以便促進骨骼融合。不過,在把某些習知接骨板放在腕骨區20的各個骨骼上時,接骨板的螺絲孔在有些情形下沒有充分對齊以提供適當的骨骼固定。 As an example, referring to Fig. 1, the canine bone region 20 of the canine includes a radius 24 and an ulna 26, and a carpal bone 21 distal to the tibia 24 and the ulna 26. The carpal bone 21 includes a plurality of proximal carpal bones 22 that are distal to the tibia 24 and the ulna 26 and a radial carpal bone 28 and an ulnar carpal bone 30. The carpal bone 21 further includes a plurality of distal carpal bones 32 spaced apart from the proximal carpal bone 22 at the distal end. The carpal tunnel region 20 further includes a plurality of metacarpal bones 34 spaced distally from the distal carpal bone 32. For example, the carpal tunnel region 20 can include a first metacarpal bone 34a, a second metacarpal bone 34b, a third metacarpal bone 34c, a fourth metacarpal bone 34d, and a fifth metacarpal bone 34e. When it is shown that the wrist region must be treated for arthroplasty, such as by trauma to a ligament or fibrocartilage, the bone plate is typically secured to the carpal region 20, including at least one of the humerus 24, the carpal bones 22, and 32, and at least one of the metacarpals 34. One (for example, a pair of metacarpals 34) to promote bone fusion. However, when placing certain conventional bone plates on the various bones of the wrist region 20, the screw holes of the bone plates are not sufficiently aligned in some cases to provide proper bone fixation.

本揭示內容係有關於用於全腕固定的方法及裝置。根據一具體實施例,關節固定骨骼固定板呈縱向伸長以及包含多個穿孔。該等穿孔中之一些經組態成可與底下掌骨對齊。該等穿孔中之每一者可包含第一部份以及對於該第一部份開放的第二部份,每個部份經組態成可接受一接骨螺絲(bone screw)。該第二部份在縱向方向以及實質垂直於該縱向方向的側向方向都相對於該第一部份偏移。 The present disclosure relates to methods and apparatus for full wrist fixation. According to a specific embodiment, the articulating bone fixation plate is longitudinally elongated and includes a plurality of perforations. Some of the perforations are configured to align with the underlying metacarpal bone. Each of the perforations can include a first portion and a second portion that is open to the first portion, each portion configured to accept a bone screw. The second portion is offset relative to the first portion in a longitudinal direction and a lateral direction substantially perpendicular to the longitudinal direction.

在一具體實施例中,關節固定接骨板係經組態成可附接至患者的腕骨區以及包含接骨板主體。該接骨板主體沿著縱向方向伸長以及定義一面向骨骼之內表面以及沿著橫向方向與該內表面隔開的一相反外表面。此外,該接骨板主體包含近端部份以及沿著實質垂直於該橫向方向之該縱向方向與該近端部份隔開的遠端部份。該近端部份係經組態成可配置於該腕骨區之一橈骨上。該遠端部份係經組態成可配置於該腕骨區的數個掌骨上。該接骨板主體在該遠端區域定義由該外表面延伸至該內表面的多個穿孔。該等多個穿孔中之一群組沿著實質垂直於該縱向方向及該橫向方向的側向方向相互 隔開,使得在該遠端部份配置於該等掌骨上以及該近端部份配置於該橈骨上時,該群組中之每一穿孔各自與至少4個不同掌骨中之少一不同者實質對齊。該等穿孔中之每一者包含第一部份以及對於該第一部份開放的第二部份。該第一部份相對於該第二部份偏移。此外,該群組之每一穿孔之該第一及該第二部份中之每一者經組態成可單獨接受一骨錨(bone anchor)以便使該接骨板主體之該遠端部份附接至4個各個不同掌骨。 In a specific embodiment, the articular fixation plate is configured to be attachable to a wrist region of the patient and to include a bone plate body. The plate body extends in the longitudinal direction and defines an inner surface facing the bone and an opposite outer surface spaced from the inner surface in a lateral direction. Additionally, the bone plate body includes a proximal portion and a distal portion spaced from the proximal portion along the longitudinal direction substantially perpendicular to the lateral direction. The proximal portion is configured to be configurable on one of the tibias of the wrist region. The distal portion is configured to be configurable on a plurality of metacarpals of the carpal region. The plate body defines a plurality of perforations extending from the outer surface to the inner surface at the distal end region. One of the plurality of perforations is mutually mutually along a lateral direction substantially perpendicular to the longitudinal direction and the lateral direction Separating such that when the distal portion is disposed on the metacarpals and the proximal portion is disposed on the tibia, each of the perforations in the group is different from at least one of the at least four different metacarpals Substantial alignment. Each of the perforations includes a first portion and a second portion that is open to the first portion. The first portion is offset relative to the second portion. Additionally, each of the first and second portions of each of the perforations of the group is configured to individually receive a bone anchor to enable the distal portion of the bone plate body Attached to 4 different metacarpals.

該第一部份可在縱向方向及側向方向都相對於該第二部份偏移。該等多個穿孔可為多個遠端穿孔,以及該接骨板更可包括:在該近端區由該外表面延伸至該內表面的多個近端穿孔。每個近端穿孔經組態成可接受一骨錨以便使該接骨板主體之該近端部份附接至該橈骨。該等近端穿孔可沿著該縱向方向相互隔開。該接骨板主體更可包括:配置於該近端及該遠端部份之間以及與彼等縱向隔開的一中間部份,以及該中間部份經組態成在該近端部份配置於該橈骨上以及該遠端部份配置於該等掌骨上時,可配置於該腕骨區之一徑向腕骨及一尺側腕骨上。該接骨板更可包括:多個中間穿孔。該等中間穿孔中之每一者係經組態成可接受一骨錨以便使該接骨板之該中間部份附接至該徑向腕骨及該尺側腕骨。該等中間穿孔可沿著該側向方向相互隔開使得在該接骨板主體配置於該腕骨區上時,至少一中間穿孔與該徑向腕骨對齊以及另一中間穿孔與該尺側腕骨對齊。 The first portion is offset relative to the second portion in both the longitudinal direction and the lateral direction. The plurality of perforations can be a plurality of distal perforations, and the plate further includes a plurality of proximal perforations extending from the outer surface to the inner surface in the proximal region. Each proximal perforation is configured to receive a bone anchor to attach the proximal portion of the bone plate body to the tibia. The proximal perforations can be spaced apart from each other along the longitudinal direction. The bone plate body may further include: an intermediate portion disposed between the proximal end and the distal end portion and longitudinally spaced from the longitudinal portion thereof, and the intermediate portion configured to be disposed in the proximal end portion When the humerus and the distal end portion are disposed on the metacarpal bones, they can be disposed on one of the radial carpal bones and the one-foot side carpal bone of the carpal bone region. The bone plate may further comprise: a plurality of intermediate perforations. Each of the intermediate perforations is configured to receive a bone anchor to attach the intermediate portion of the plate to the radial carpal and the ulnar carpal. The intermediate perforations may be spaced apart from each other along the lateral direction such that when the bone plate body is disposed on the carpal region, at least one intermediate perforation is aligned with the radial carpal and the other intermediate perforation is aligned with the ulnar carpal.

該接骨板主體可包含部份定義該等穿孔中之至少一者之該第一部份的第一螺紋表面,部份定義該等穿孔中之至少一者之該第二部份的第二螺紋表面,以及配置於該第一及該第二螺紋表面之間以便使該第一部份與該第二部份分離的一實質平坦表面。該等多個穿孔之該群組可為沿著該側向延伸的第一橫列。該群組可為第一群組,以及該等多個穿孔包含與該第一群組沿著該縱向方向隔開的第二群組。可將該等穿孔中之至少兩個組態成:在該近端部份配置於該橈骨上以及該遠端部份配置於該等掌骨上時,與同一個掌骨對齊。該等多個穿孔更可包括與該第一及該第二群組沿著該縱向方向隔開的第三穿孔群組。該第三穿孔群組可配置於該第一穿孔群組及該第二穿孔群組之間。 The bone plate body can include a first threaded surface defining a portion of the first portion defining at least one of the perforations, and a portion defining a second thread of the second portion of at least one of the perforations a surface and a substantially planar surface disposed between the first and second threaded surfaces to separate the first portion from the second portion. The group of the plurality of perforations may be a first course extending along the lateral direction. The group can be a first group, and the plurality of perforations include a second group that is spaced apart from the first group along the longitudinal direction. At least two of the perforations may be configured to align with the same metacarpal bone when the proximal portion is disposed on the tibia and the distal portion is disposed on the metacarpal. The plurality of perforations may further include a third group of perforations spaced apart from the first and second groups along the longitudinal direction. The third punctured group can be disposed between the first punctured group and the second punctured group.

可將該等多個穿孔組態成可彼此相對地設置使得在該遠端部份配置於該等掌骨上以及該近端部份配置於該橈骨上時,兩個穿孔各自與至少4個不同掌骨中之至少一不同者實質對齊。該近端部份可沿著該橫向方向相對於該遠端部份偏移。該近端部份可沿著該橫向相對於該中間部份偏移。該接骨板主體可定義一螺紋表面與一無螺紋表面,其合作定義該等穿孔中之至少一者,以及該無螺紋表面沿著該橫向方向與該螺紋表面隔開。 The plurality of perforations can be configured to be disposed opposite each other such that when the distal portion is disposed on the metacarpals and the proximal portion is disposed on the tibia, the two perforations are each different from at least four At least one of the different metacarpals is substantially aligned. The proximal portion is offset relative to the distal portion along the lateral direction. The proximal portion is offset relative to the intermediate portion along the lateral direction. The plate body can define a threaded surface and an unthreaded surface that cooperate to define at least one of the perforations and the unthreaded surface is spaced from the threaded surface along the transverse direction.

在一具體實施例中,該接骨板包含沿著縱向方向伸長的一接骨板主體以及定義一面向骨骼之內表面以及與該內表面隔開的相反外表面。此外,該接骨板主體定 義由該外表面延伸至該內表面的至少一穿孔。該穿孔包含第一部份以及沿著第一方向與該第一部份隔開且對於該第一部份開放的第二部份。該第一及該第二部份中之每一者的組態及尺寸經製作成可個別接受一骨錨以便使該接骨板主體附接至一底下骨骼。該接骨板主體更可定義連接於該第一及該第二部份之間的一頸部。該頸部定義沿著該第一方向呈實質平坦的至少一實質平坦表面。 In a specific embodiment, the bone plate includes a bone plate body elongated in a longitudinal direction and defining an inner surface facing the bone and an opposite outer surface spaced from the inner surface. In addition, the main body of the bone plate is fixed The outer surface extends from the outer surface to at least one perforation of the inner surface. The through hole includes a first portion and a second portion spaced apart from the first portion along the first direction and open to the first portion. Each of the first and second portions is configured and dimensioned to individually receive a bone anchor for attaching the bone plate body to a bottom bone. The bone plate body further defines a neck connected between the first portion and the second portion. The neck defines at least one substantially flat surface that is substantially flat along the first direction.

該第一及該第二部份中之每一者可各自定義沿著實質垂直於該第一方向之第二方向的最大橫截面尺寸。該頸部可定義沿著該第二方向的最大橫截面尺寸,使得該頸部的最大橫截面尺寸小於該第一及該第二部份中之每一者的最大橫截面尺寸。該接骨板主體的內、外表面可沿著橫向方向隔開。該第一及該第二方向可對於該橫向方向有角度偏移。該接骨板主體可定義在該內表面、該外表面之間延伸的第一及第二相反側面。該第一及該第二側面可沿著實質垂直於該橫向方向的側向方向相互隔開。該第一方向可沿著該側向方向延伸。 Each of the first and second portions can each define a maximum cross-sectional dimension along a second direction substantially perpendicular to the first direction. The neck may define a maximum cross-sectional dimension along the second direction such that a maximum cross-sectional dimension of the neck is less than a maximum cross-sectional dimension of each of the first and second portions. The inner and outer surfaces of the main body of the bone plate may be spaced apart in the lateral direction. The first and second directions may be angularly offset from the lateral direction. The plate body can define first and second opposing sides extending between the inner surface and the outer surface. The first and second sides may be spaced apart from each other along a lateral direction substantially perpendicular to the lateral direction. The first direction can extend along the lateral direction.

該接骨板主體可定義在該內表面及該外表面之間延伸的第一及第二相反側面,該第一及該第二側面沿著實質垂直於該橫向方向的側向方向相互隔開,以及該第一方向對於該側向方向有角度偏移。該第一及該第二部份可彼此以該頸部為中心呈對稱。該第一部份可對於該第二部份呈凹形,以及該第二部份可對於該第一部份呈 凹形。該第一部份可為實質弧形以及該第二部份為實質弧形。該第一及該第二部份中之每一者定義實質無螺紋的一外區,以及有螺紋的一內區,該內區經配置成比該外區更靠近該接骨板主體之該內表面。 The plate body can define first and second opposite sides extending between the inner surface and the outer surface, the first and second sides being spaced apart from each other in a lateral direction substantially perpendicular to the lateral direction, And the first direction is angularly offset from the lateral direction. The first and second portions may be symmetrical with each other about the neck. The first portion may be concave for the second portion, and the second portion may be for the first portion Concave. The first portion can be substantially curved and the second portion can be substantially curved. Each of the first and second portions defines an outer region that is substantially unthreaded, and an inner region that is threaded, the inner region being configured to be closer to the inner portion of the bone plate body than the outer portion surface.

本揭示內容也有關於骨骼固定方法。在一具體實施例中,該方法包含以下步驟中之一或更多:(a)將一接骨板放在患者的一腕骨區上,該接骨板包含定義近端部份、在縱向方向與該近端部份隔開之遠端部份的一接骨板主體,多個穿孔延伸穿過該遠端部份,該等穿孔中之每一者包含第一部份以及與該第一部份隔開且對於該第一部份開放的第二部份,該第一及該第二部份中之每一者的組態及尺寸經製作成可個別接受一骨錨;(b)安置該接骨板主體於該腕骨區上使得該近端部份覆蓋該腕骨區之一橈骨的至少一部份以及該遠端部份覆蓋至少4個掌骨;(c)識別該等穿孔中之至少一者之該第一及該第二部份中可接受一骨錨的選定者;以及(d)使該骨錨插穿該等穿孔中之至少一者之該第一及該第二部份中經識別選定者,以便使該遠端部份附接至該等掌骨中之至少一個。該放置步驟可包括:使該等穿孔中之至少一個與該等4個掌骨中之每一者對齊。該放置步驟可包括:使該等穿孔中之至少兩個與該等4個掌骨中之每一者對齊。該等穿孔可為遠端穿孔,以及該接骨板更可在該近端區定義數個近端穿孔。該接骨螺絲可為遠端接骨螺絲,以及該方法更可包括:使一近端接骨螺絲插穿該等 近端穿孔中之至少一者以及進入該橈骨以便使接骨板耦合至該橈骨。 This disclosure also relates to bone fixation methods. In a specific embodiment, the method comprises one or more of the following steps: (a) placing a bone plate on a wrist region of the patient, the bone plate comprising a defined proximal portion, in the longitudinal direction and a plate body of the distal portion of the proximal portion, the plurality of perforations extending through the distal portion, each of the perforations including the first portion and the first portion Opening and for the second portion of the first portion, the configuration and dimensions of each of the first and second portions are made to individually accept a bone anchor; (b) the bone is placed The body of the plate is disposed on the carpal region such that the proximal portion covers at least a portion of one of the humerus of the carpal region and the distal portion covers at least four metacarpals; (c) identifying at least one of the perforations Selecting a bone anchor in the first and second portions; and (d) inserting the bone anchor through the first and second portions of the at least one of the perforations Selected to attach the distal portion to at least one of the metacarpals. The placing step can include aligning at least one of the perforations with each of the four metacarpals. The placing step can include aligning at least two of the perforations with each of the four metacarpals. The perforations can be distal perforations, and the plate can define a plurality of proximal perforations in the proximal region. The bone screw can be a distal bone screw, and the method can further include: inserting a proximal bone screw into the same At least one of the proximal perforations and into the tibia to couple the bone plate to the tibia.

請參考第2A圖至第3圖,可將全腕關節固定接骨板40的幾何組態成可固定至底下骨骼,例如四足動物之腕骨區20的骨骼,以便使橈骨24、尺骨26、近端腕骨22、遠端腕骨32及掌骨34彼此相互固定。全腕關節固定接骨板40沿著縱向方向L伸長,定義在垂直或實質垂直於縱向方向L之側向方向A的寬度,以及在垂直或實質垂直於縱向方向L及側向方向A兩者之橫向方向T的厚度。在這點上,應瞭解,不同方向可沿著相互偏離90度角的方向延伸,或在相互偏離約45度至約90度角的範圍內。 Referring to Figures 2A through 3, the full wrist joint fixation plate 40 can be geometrically configured to be secured to the underlying bone, such as the bone of the carpal bone region 20 of the quadruped, so that the humerus 24, ulna 26, proximal The end carpal bone 22, the distal carpal bone 32, and the metacarpal bone 34 are secured to each other. The full wrist joint fixation plate 40 is elongated along the longitudinal direction L, defined as a width perpendicular or substantially perpendicular to the lateral direction A of the longitudinal direction L, and perpendicular or substantially perpendicular to both the longitudinal direction L and the lateral direction A. The thickness of the transverse direction T. In this regard, it will be appreciated that the different directions may extend in a direction that is offset from each other by an angle of 90 degrees, or within a range that deviates from each other by an angle of from about 45 degrees to about 90 degrees.

全腕關節固定接骨板40包含沿著中央縱軸44實質延伸的板主體42,在對齊成可用本文所述方式固定至底下腕骨區20時,中央縱軸44的取向為由近端至遠端的方向。全腕關節固定接骨板40包含經組態成可放上及隨後固定至橈骨24的近端部份46;中間部份48,其係遠端配置自近端部份46以及經組態成可放在近端腕骨22中之至少一或兩者上以及隨後固定於其上;以及遠端部份50,其係遠端與中間部份48隔開以及經組態成可放在掌骨34中之至少一或更多(例如,4個,包括第二、第三、第四及第五掌骨34b、34c、34d及34e)上以及隨後固定於其上。因此,中間部份48沿著縱軸 44配置於近端部份46、遠端部份50之間。換言之,近端部份46、遠端部份50、及中間部份48係沿著該縱向方向L相互隔開。中間部份48配置於近端部份46、遠端部份50之間以及與彼等縱向隔開。使用時,中間部份48係經組態成在近端部份46配置於橈骨24上以及遠端部份50配置於掌骨34上時,可配置於徑向腕骨28及尺側腕骨30上。 The full wrist joint fixation plate 40 includes a plate body 42 that extends substantially along the central longitudinal axis 44, the central longitudinal axis 44 being oriented from proximal to distal when aligned to be secured to the underlying carpal region 20 in the manner described herein. The direction. The full wrist joint fixation plate 40 includes a proximal portion 46 that is configured to be placed and subsequently secured to the tibia 24; an intermediate portion 48 that is distally disposed from the proximal portion 46 and configured to be Placed on at least one or both of the proximal carpal tunnels 22 and subsequently secured thereto; and the distal portion 50 is distally spaced from the intermediate portion 48 and configured to be placed in the metacarpal bones 34 At least one or more (e.g., four, including the second, third, fourth, and fifth metacarpals 34b, 34c, 34d, and 34e) are attached thereto and subsequently secured thereto. Therefore, the intermediate portion 48 is along the vertical axis 44 is disposed between the proximal portion 46 and the distal portion 50. In other words, the proximal portion 46, the distal portion 50, and the intermediate portion 48 are spaced apart from each other along the longitudinal direction L. The intermediate portion 48 is disposed between the proximal portion 46, the distal portion 50, and longitudinally spaced therefrom. In use, the intermediate portion 48 is configured to be disposed on the radial bone 28 and the ulnar wrist 30 when the proximal portion 46 is disposed on the tibia 24 and the distal portion 50 is disposed on the metacarpal 34.

板主體(plate body)42更定義經組態成可面向底下骨骼的面向骨骼之內表面52,以及沿著橫向方向T與內表面52隔開的相反外表面54。板主體42更定義沿著側向方向A相互隔開的相反側面56。可將內表面52的組態及尺寸製作可裝在底下骨骼(例如,犬科動物之腕骨區20)上。例如,內表面52可在側面56之間沿著側向方向A彎曲以便大體符合底下橈骨24。此外,內表面52可沿著近端部份46實質縱向延伸,以及可沿著縱向方向L由近端部份46至中間部份48橫向方向向內彎曲。例如,對於近端部份46及遠端部份50,內表面52可橫向向內配置於中間部份48(在與底下近端腕骨22對齊的位置處)。按需要,內表面52可抵靠近端腕骨22或可與近端腕骨22稍微隔開。內表面52可由中間部份48至遠端部份50橫向向外彎曲以便大體符合底下掌骨34。側面56在小於中間部份48及遠端部份50的近端部份46處可側向隔開一段距離。側面56在小於遠端部份50的中間部份48處可側向隔開一段距離。側面56 可在中間部份48、遠端部份50之間向內收窄(neck inwardly)。側面56也被稱作旁邊。 The plate body 42 further defines a bone-facing inner surface 52 that is configured to face the underlying bone, and an opposite outer surface 54 that is spaced from the inner surface 52 along the transverse direction T. The plate body 42 further defines opposing sides 56 that are spaced apart from each other along the lateral direction A. The configuration and size of the inner surface 52 can be made to fit on the underlying bone (e.g., the canine bone region 20 of the canine). For example, the inner surface 52 can be curved between the sides 56 in the lateral direction A to generally conform to the underlying tibia 24. Additionally, the inner surface 52 can extend substantially longitudinally along the proximal portion 46 and can be curved inwardly from the proximal portion 46 to the intermediate portion 48 in the longitudinal direction L. For example, for the proximal portion 46 and the distal portion 50, the inner surface 52 can be disposed laterally inwardly of the intermediate portion 48 (at a position aligned with the underlying proximal carpal 22). The inner surface 52 can be placed adjacent to or slightly spaced from the proximal carpal bone 22, as desired. The inner surface 52 can be laterally outwardly curved from the intermediate portion 48 to the distal portion 50 to generally conform to the underlying metacarpal bone 34. Side 56 can be laterally spaced a distance less than intermediate portion 48 and proximal portion 46 of distal portion 50. Side 56 can be laterally spaced a distance less than intermediate portion 48 of distal portion 50. Side 56 It can be narrowed inwardly between the intermediate portion 48 and the distal portion 50. Side 56 is also referred to as the side.

板主體42更可包括:使近端部份46與中間部份48互連的彎曲部49。彎曲部49使近端部份46與中間部份48分離使得近端部份46與中間部份48沿著橫向方向T隔開。換言之,近端部份46沿著橫向方向T相對於遠端部份50偏移。此外,近端部份46沿著橫向方向T相對於中間部份48偏移。因此,當板主體42配置於腕骨區20上時,近端部份46可放在橈骨24上,同時中間部份48放在近端腕骨22上以及遠端部份50放在掌骨34上。因此,近端部份46係經組態成可配置於橈骨24上,以及遠端部份50係經組態成可配置於掌骨34上。 The plate body 42 can further include a bend 49 that interconnects the proximal portion 46 with the intermediate portion 48. The curved portion 49 separates the proximal portion 46 from the intermediate portion 48 such that the proximal portion 46 and the intermediate portion 48 are spaced apart in the lateral direction T. In other words, the proximal portion 46 is offset relative to the distal portion 50 along the lateral direction T. Moreover, the proximal portion 46 is offset relative to the intermediate portion 48 along the transverse direction T. Thus, when the plate body 42 is disposed on the wrist region 20, the proximal portion 46 can be placed over the tibia 24 while the intermediate portion 48 is placed over the proximal carpal 22 and the distal portion 50 is placed over the metacarpal bone 34. Thus, the proximal portion 46 is configured to be configurable on the tibia 24 and the distal portion 50 is configured to be configurable on the metacarpal 34.

全腕關節固定接骨板40可定義組態成可接受一骨錨以便使板主體42固定至底下骨骼的多個穿孔。該等穿孔沿著橫向方向T由外表面54延伸至內表面52。例如,全腕關節固定接骨板40可定義橫向延伸穿過板主體42之近端部份46的第一多個近端穿孔58,橫向延伸穿過板主體42之中間部份48的第二多個中間穿孔59,以及橫向延伸穿過板主體42之遠端部份50的第三多個遠端穿孔63。 The full wrist joint fixation plate 40 can define a plurality of perforations configured to receive a bone anchor to secure the plate body 42 to the underlying bone. The perforations extend from the outer surface 54 to the inner surface 52 along the transverse direction T. For example, the full wrist joint fixation plate 40 can define a first plurality of proximal perforations 58 that extend laterally through the proximal portion 46 of the plate body 42 and a second portion that extends laterally through the intermediate portion 48 of the plate body 42. An intermediate perforation 59, and a third plurality of distal perforations 63 extending transversely through the distal end portion 50 of the plate body 42.

第一多個近端穿孔58中之每一者可縱向隔開,可按需要沿著中央軸線44縱向對齊,以及可按需要組態成可接受骨錨,例如接骨螺絲,以便使近端部份46固 定至底下橈骨24。近端穿孔58中之每一者在近端區46可由外表面54延伸至內表面52。近端穿孔58可沿著該縱向方向L相互隔開。可將近端穿孔58中之至少一至所有組態成為有第一或近端部份60a以及對於近端部份60a開放之第二或遠端部份60b的組合穿孔60。因此,近端部份60a與遠端部份60b中之每一者可向對方開放以便定義一封閉穿孔60。換言之,近端部份60a與遠端部份60b彼此相通使得近端部份60a與遠端部份60b可一起定義一封閉穿孔60。穿孔60的近端部份60b可與同一個穿孔60的遠端部份60b沿著縱向方向隔開。根據圖示具體實施例,近端及遠端部份60a、60b中之任一可不帶螺紋以及縱向伸長以便接受旋入底下橈骨24的壓縮螺絲。本技藝一般技術人員應瞭解,穿孔60可稱作組合孔(combination hole,或combi-hole)。在壓縮螺絲貼著板主體42上緊之前,板主體42對於壓縮螺絲可平移,藉此頂著底下骨骼壓縮板主體42。此外,近端及遠端部份60a、60b中之任一或兩者可帶有螺紋以便與鎖緊螺絲的螺紋頭(threaded head)配對。此外,遠端部份60b可定義在鎖緊螺絲對於橫向方向T有非零角度時可與鎖緊螺絲之螺紋頭配對的可變角孔部份(variable angle hole portion)。 Each of the first plurality of proximal perforations 58 can be longitudinally spaced, longitudinally aligned along the central axis 44 as desired, and can be configured to accept a bone anchor, such as a bone screw, to provide a proximal end 46 solid Set to the bottom of the humerus 24. Each of the proximal perforations 58 can extend from the outer surface 54 to the inner surface 52 at the proximal end region 46. The proximal perforations 58 can be spaced apart from each other along the longitudinal direction L. At least one to all of the proximal perforations 58 can be configured as a combined perforation 60 having a first or proximal portion 60a and a second or distal portion 60b that is open to the proximal portion 60a. Thus, each of the proximal portion 60a and the distal portion 60b can be open to the other to define a closed perforation 60. In other words, the proximal portion 60a and the distal portion 60b are in communication with each other such that the proximal portion 60a and the distal portion 60b together define a closed perforation 60. The proximal portion 60b of the perforation 60 can be spaced apart from the distal end portion 60b of the same perforation 60 in the longitudinal direction. In accordance with the illustrated embodiment, any of the proximal and distal portions 60a, 60b can be unthreaded and longitudinally elongated to receive a compression screw that is threaded into the underlying tibia 24. One of ordinary skill in the art will appreciate that the perforations 60 can be referred to as combination holes (or combi-holes). Before the compression screw is tightened against the plate body 42, the plate body 42 is translatable with respect to the compression screw, thereby pressing the bottom bone compression plate body 42 against the bottom. Additionally, either or both of the proximal and distal portions 60a, 60b can be threaded to mate with the threaded head of the locking screw. In addition, the distal end portion 60b can define a variable angle hole portion that can be mated with the threaded head of the locking screw when the locking screw has a non-zero angle to the transverse direction T.

此外,近端穿孔58中之至少一至所有近端穿孔58可定義堆疊組合孔62。例如,堆疊組合孔62可定義橫向無螺紋外表面62a以及對於該無螺紋表面橫向向內地 配置的橫向帶螺紋內表面62b。因此,壓縮螺絲可插穿堆疊組合孔62以及驅入底下骨骼使得無螺紋頭抵靠橫向無螺紋外表面62a。替換地,鎖緊螺絲可插穿堆疊組合孔62以及驅入底下骨骼使得螺紋頭與橫向帶螺紋內表面62b配對。因此,可將近端穿孔58中之每一個組態成可選擇性地接受壓縮螺絲或者是鎖緊螺絲。根據圖示具體實施例,近端穿孔58包含6個組合穿孔60以及與該等組合穿孔60遠端隔開的一堆疊組合孔62,然而應瞭解,近端穿孔58可包含跟需要一樣多的組合穿孔60及堆疊組合孔62。替換地,可按需要將近端穿孔58的至少一至所有組態成為有任何適當結構的穿孔而被組態成可使板主體42固定至底下骨骼。 Additionally, at least one to all of the proximal perforations 58 of the proximal perforations 58 may define a stacked combination aperture 62. For example, the stacked combination aperture 62 can define a transverse unthreaded outer surface 62a and laterally inwardly for the unthreaded surface The transversely threaded inner surface 62b is configured. Thus, the compression screw can be inserted through the stacked combination aperture 62 and driven into the underlying bone such that the unthreaded head abuts against the transverse unthreaded outer surface 62a. Alternatively, the locking screw can be inserted through the stacked combination aperture 62 and driven into the underlying bone such that the threaded head mates with the transversely threaded inner surface 62b. Thus, each of the proximal perforations 58 can be configured to selectively accept a compression screw or a locking screw. According to the illustrated embodiment, the proximal perforation 58 includes six combined perforations 60 and a stacked combination aperture 62 spaced from the distal ends of the combined perforations 60, although it will be appreciated that the proximal perforations 58 can contain as many as needed The perforations 60 and the stacked combination holes 62 are combined. Alternatively, at least one to all of the proximal perforations 58 can be configured as perforations of any suitable configuration as desired to secure the plate body 42 to the underlying bone.

同樣可按需要將該等中間穿孔59組態成可接受適當骨錨,例如接骨螺絲,以便使板主體42固定至底下骨骼,它可為近端腕骨22中之一個。例如,該等中間穿孔59可沿著側向方向A相互隔開使得在接骨板主體42配置於腕骨區20上時,至少一穿孔與徑向腕骨28對齊以及另一中間穿孔59與尺側腕骨30對齊。該等中間穿孔59中之至少一或更多至所有可帶有螺紋以便與插穿穿孔進入底下骨骼之鎖緊螺絲的螺紋頭配對。替換地或附加地,該等中間穿孔59的至少一或更多至所有可不帶螺紋以便接受插穿穿孔進入底下骨骼的壓縮螺絲使得壓縮螺絲的頭部抵靠板主體42而壓縮板主體42貼著底下骨骼。替換地或附加地,可將該等中間穿孔 59的至少一或更多至所有組態成為上述類型的堆疊組合孔。該等中間穿孔中之每一者59係經組態成可接受一骨錨以便使中間部份48附接至徑向腕骨28及尺側腕骨30。 The intermediate perforations 59 can also be configured to accept a suitable bone anchor, such as a bone screw, to secure the plate body 42 to the underlying bone, which can be one of the proximal carpal bones 22. For example, the intermediate perforations 59 can be spaced apart from each other along the lateral direction A such that when the bone plate body 42 is disposed on the carpal tunnel region 20, at least one perforation is aligned with the radial carpal 28 and the other intermediate perforation 59 and the ulnar carpal bone 30 alignment. At least one or more of the intermediate perforations 59 are all threaded for mating with a threaded head of a locking screw inserted through the perforation into the underlying bone. Alternatively or additionally, at least one or more of all of the intermediate perforations 59 may be unthreaded to receive a compression screw that is inserted through the perforations into the underlying bone such that the head of the compression screw abuts against the plate body 42 and compresses the plate body 42 Under the bones. Alternatively or additionally, the intermediate perforations may be At least one or more of all of 59 are configured as stacked combination holes of the type described above. Each of the intermediate perforations 59 is configured to receive a bone anchor to attach the intermediate portion 48 to the radial carpal 28 and the ulnar carpal 30.

該等中間穿孔59可包含沿著縱軸44與近端穿孔58對齊的中央中間穿孔59a,以及在中央中間穿孔59a兩側上側向向外隔開的第一及第二中間穿孔外側對子59b及59c。中央中間穿孔59a也可與穿孔59b及59c相對遠端隔開。中間穿孔對59b及59c中之每一穿孔可側向隔開一段距離,該距離小於中央穿孔59a與穿孔對59b及59c之側向內穿孔隔開的距離。中央穿孔59a與第一對穿孔59b可與徑向腕骨28對齊以及第二對穿孔59c可與尺側腕骨30對齊。穿孔對59b及59c的穿孔中之每一者可分離側向封閉隔開的穿孔,或替換地可向對方開放以便定義一組合穿孔,藉此每個穿孔對59b及59c的穿孔可向對方側向開放。此外,穿孔59a至59c中之每一者可定義橫向伸入外表面54的凹陷區域65以及形狀可按需要實質做成為橢圓形、圓形或其他形狀。凹陷區域65可不帶螺紋,以及穿孔59a至59c可帶有螺紋或不帶螺紋。因此,穿孔59a至59c可定義堆疊組合孔。因此,壓縮螺絲可插穿穿孔59a至59c以及驅入底下骨骼使得無螺紋頭抵靠橫向無螺紋外表面。替換地,鎖緊螺絲可插穿穿孔59a至59c以及驅入底下骨骼使得螺紋頭與橫向帶螺紋內表面配對。因此,可將穿孔 59a至59c中之每一者組態成可選擇性地接受壓縮螺絲及鎖緊螺絲兩者。也可將每個凹口65組態成骨錨可***穿孔(59a、59b或59c)以及對於橫向T或縱軸44有斜角地進入底下骨骼。該等中間穿孔中之每一者59係經組態成可接受骨錨以便使中間部份48附接至徑向腕骨28及尺側腕骨30。該等中間穿孔59可沿著側向方向A相互隔開使得在接骨板主體42配置於腕骨區20上時,至少一中間穿孔59與徑向腕骨28對齊以及另一中間穿孔59與尺側腕骨30對齊。 The intermediate perforations 59 can include a central intermediate perforation 59a aligned with the proximal end opening 58 along the longitudinal axis 44, and first and second intermediate perforated outer pair 59b spaced laterally outwardly on either side of the central intermediate perforation 59a. And 59c. The central intermediate perforation 59a can also be spaced apart from the distal ends of the perforations 59b and 59c. Each of the intermediate perforation pairs 59b and 59c can be laterally spaced apart by a distance that is less than the distance separating the central perforations 59a from the lateral inward perforations of the perforations 59b and 59c. The central perforation 59a and the first pair of perforations 59b can be aligned with the radial carpal 28 and the second pair of perforations 59c can be aligned with the ulnar carpal 30. Each of the perforations of the pair of perforations 59b and 59c can separate laterally spaced apart perforations, or alternatively can be open to the other side to define a combined perforation whereby perforations of each perforation pair 59b and 59c can be directed to each other Open to the open. Additionally, each of the perforations 59a-59c can define a recessed region 65 that extends laterally into the outer surface 54 and the shape can be substantially elliptical, circular, or other shape as desired. The recessed area 65 may be unthreaded and the perforations 59a to 59c may or may not be threaded. Thus, the perforations 59a to 59c can define stacked combination holes. Thus, the compression screw can be inserted through the perforations 59a-59c and driven into the underlying bone such that the unthreaded head abuts against the lateral unthreaded outer surface. Alternatively, the locking screw can be inserted through the perforations 59a-59c and driven into the underlying bone such that the threaded head mates with the transversely threaded inner surface. Therefore, the perforation can be Each of 59a through 59c is configured to selectively accept both compression screws and locking screws. Each notch 65 can also be configured such that the bone anchor can be inserted into the perforation (59a, 59b or 59c) and into the underlying bone at an oblique angle to the transverse T or longitudinal axis 44. Each of the intermediate perforations 59 is configured to accept a bone anchor to attach the intermediate portion 48 to the radial carpal 28 and the ulnar carpal 30. The intermediate perforations 59 may be spaced apart from one another in a lateral direction A such that when the bone plate body 42 is disposed on the carpal region 20, at least one intermediate perforation 59 is aligned with the radial carpal 28 and the other intermediate perforation 59 and ulnar carpal bone 30 alignment.

遠端穿孔63可排列成不同的群組,例如第一群組74與第二群組76。第一群組74可包含沿著側向方向A相互隔開遠端穿孔63。同樣,第二群組76可包含沿著側向方向A相互隔開的遠端穿孔63。穿孔63的第一群組74可沿著縱向方向L與穿孔63的第二群組76隔開。第一群組74的每個穿孔63經組態成在遠端部份50配置於掌骨34上以及近端部份46配置於橈骨24上時,可各自與至少兩個不同掌骨34中之至少一不同者實質對齊。例如,第一群組74的每個穿孔63經組態成在遠端部份50配置於掌骨34上以及近端部份46配置於橈骨24上時,可各自與至少4個不同掌骨34中之至少一不同者實質對齊。第一群組74可為第一橫列63,而第二群組76可為第二橫列66。因此,遠端穿孔63可排列成第一橫列64與第二橫列66。儘管第一橫列64包含比第二橫列66還多的穿孔63,然而應瞭解,橫列64、 66可包含跟需要一樣多的穿孔63。例如,第一橫列64的每個遠端穿孔63可經定位成可與不同掌骨34對齊。同樣,第二橫列66的每個遠端穿孔63可經定位成可與不同掌骨34對齊。根據圖示具體實施例,第一橫列64包含4個穿孔63,彼等經組態成在全腕關節固定接骨板40放在腕骨21上以便固定至腕骨區20時,可與第二、第三、第四及第五掌骨34對齊。能夠使關節固定接骨板40固定至兩個以上的掌骨使得負荷更好地分散,從而相較於組態成可固定至一或兩個掌骨的某些習知全腕接骨板,可實現更好的應力分散。根據圖示具體實施例,第二橫列66包含兩個穿孔63,彼等經組態成在全腕關節固定接骨板40放在腕骨21上以便固定至腕骨區20時,可與第三及第四掌骨34對齊。應瞭解,第一及第二橫列64、66可包含按需要與掌骨34中之任一對齊的任意多個穿孔63。 The distal perforations 63 can be arranged in different groups, such as the first group 74 and the second group 76. The first group 74 can include spaced apart distal perforations 63 along the lateral direction A. Likewise, the second group 76 can include distal perforations 63 that are spaced apart from each other along the lateral direction A. The first group 74 of perforations 63 may be spaced apart from the second group 76 of perforations 63 along the longitudinal direction L. Each of the perforations 63 of the first group 74 is configured to be disposed on the metacarpal 34 at the distal portion 50 and at least at least two of the different metacarpals 34 when the proximal portion 46 is disposed on the tibia 24 A different person is essentially aligned. For example, each of the perforations 63 of the first group 74 is configured to be disposed on the metacarpal 34 at the distal portion 50 and at least 4 different metacarpals 34 in the proximal portion 46 when disposed on the tibia 24 At least one of the different ones is substantially aligned. The first group 74 can be a first course 63 and the second group 76 can be a second course 66. Thus, the distal perforations 63 can be arranged in a first course 64 and a second course 66. Although the first course 64 contains more perforations 63 than the second course 66, it should be understood that the course 64, 66 may contain as many perforations 63 as needed. For example, each distal perforation 63 of the first course 64 can be positioned to align with a different metacarpal 34. Likewise, each distal perforation 63 of the second course 66 can be positioned to align with a different metacarpal 34. According to the illustrated embodiment, the first course 64 includes four perforations 63 that are configured such that when the full wrist joint fixation plate 40 is placed over the carpal bone 21 for fixation to the carpal region 20, The third, fourth and fifth metacarpals 34 are aligned. The ability to secure the articular fixation plate 40 to more than two metacarpal bones allows for better dispersion of the load, thereby achieving better stress than certain conventional full wrist plates configured to be fixed to one or both metacarpal bones dispersion. According to the illustrated embodiment, the second course 66 includes two perforations 63 that are configured to be placed on the wrist bone 21 with the full wrist joint fixation plate 40 for fixation to the wrist region 20, The fourth metacarpal 34 is aligned. It will be appreciated that the first and second courses 64, 66 can include any number of perforations 63 that are aligned with any of the metacarpals 34 as desired.

也參考第4A圖至第4B圖,遠端穿孔63中之至少一至所有可包含第一部份63a以及與第一部份63a隔開的第二部份63b,使得第一及第二部份63a、63b向對方開放。換言之,遠端穿孔63的第一部份63a及第二部份63b可彼此相通。第一部份63a與第二部份63b各自經組態成可單獨接受一骨錨(例如,接骨螺絲)以便使遠端部份50附接至掌骨34。換言之,第一部份63a與第二部份63b各自經組態成可個別接受骨錨。可按需要使第一及第二部份63a、63b有實質相同或不同的尺寸。 第二部份63b在縱向及橫向都偏離第一部份63a。根據圖示具體實施例,相對於第一部份63a,第二部份63b配置於遠端以及側向向外(例如,與中央軸線44隔開較遠以及比較靠近各自的側面56)。例如,第二部份63b與第一部份63a可沿著定義相對於中央軸線44之角度的方向相互隔開。該角度可在0至90度之間,例如20至70度,更特別的是在35至55度之間,例如約45度。在一具體實施例中,第一部份63a可在縱向方向L及側向方向A都相對於第二部份63b偏移。第一部份63a可對於該第二部份63b呈凹形,以及第二部份63b可對於該第一部份63a呈凹形。 Referring also to FIGS. 4A-4B, at least one to all of the distal perforations 63 may include a first portion 63a and a second portion 63b spaced from the first portion 63a such that the first and second portions 63a, 63b are open to each other. In other words, the first portion 63a and the second portion 63b of the distal perforation 63 can communicate with each other. The first portion 63a and the second portion 63b are each configured to individually receive a bone anchor (e.g., a bone screw) to attach the distal portion 50 to the metacarpal bone 34. In other words, the first portion 63a and the second portion 63b are each configured to individually accept a bone anchor. The first and second portions 63a, 63b may be substantially the same or different in size as desired. The second portion 63b is offset from the first portion 63a in both the longitudinal and lateral directions. In accordance with the illustrated embodiment, the second portion 63b is disposed distally and laterally outward relative to the first portion 63a (eg, spaced further from the central axis 44 and closer to the respective side 56). For example, the second portion 63b and the first portion 63a can be spaced apart from each other along a direction that defines an angle relative to the central axis 44. The angle may be between 0 and 90 degrees, such as 20 to 70 degrees, more particularly between 35 and 55 degrees, such as about 45 degrees. In a specific embodiment, the first portion 63a is offset from the second portion 63b in both the longitudinal direction L and the lateral direction A. The first portion 63a can be concave for the second portion 63b, and the second portion 63b can be concave for the first portion 63a.

可按需要將第一及第二部份63a、63b的至少一或兩者組態成可接受適當的骨錨,例如螺紋,以便使板主體42固定至底下骨骼,它可為掌骨34中之一個。例如,第一及第二部份63a、63b的至少一或更多至所有可帶有螺紋以便與插穿各個部份穿孔進入底下骨骼之鎖緊螺絲的螺紋頭配對。替換地或附加地,第一及第二部份63a、63b的至少一或更多至所有可不帶螺紋以便接受插穿穿孔進入底下骨骼的壓縮螺絲使得壓縮螺絲的頭部抵靠板主體42以便頂著底下骨骼壓縮板主體42。替換地或附加地,可將第一及第二部份63a、63b的至少一或更多至所有組態成為上述類型的堆疊組合孔。例如,可用板主體42的螺紋表面69以及對於螺紋表面69橫向向外配置的橫向無螺紋外表面67來定義一或更多遠 端穿孔63。無螺紋表面67可沿著橫向T與螺紋表面63隔開。因此,壓縮螺絲可插穿穿孔63以及驅入底下骨骼使得無螺紋頭抵靠橫向無螺紋外表面67。替換地,鎖緊螺絲可插穿穿孔63伋驅入底下骨骼使得螺紋頭與部份63a、63b中之一個的橫向帶螺紋內表面69配對。因此,可將遠端穿孔63中之每一者組態成可選擇性地接受壓縮螺絲或者是鎖緊螺絲。可用第一弧形螺紋內表面69a部份定義第一部份63a,以及可用第二弧形螺紋內表面69b部份定義第二部份63b。第一部份63a與第二部份63b中之每一者可定義實質無螺紋的外區90,以及帶有螺紋的內區92。可將內區92配置成比外區90還要靠近接骨板主體42的內表面52。 At least one or both of the first and second portions 63a, 63b can be configured to accept a suitable bone anchor, such as a thread, as needed to secure the plate body 42 to the underlying bone, which can be in the metacarpal bone 34 One. For example, at least one or more of all of the first and second portions 63a, 63b can be threaded to mate with a threaded head that is inserted through each of the partial perforations into the underlying bone. Alternatively or additionally, at least one or more of all of the first and second portions 63a, 63b may be unthreaded to receive a compression screw that is inserted through the perforation into the underlying bone such that the head of the compression screw abuts the plate body 42 so that The bottom body is compressed against the bottom body 42. Alternatively or additionally, at least one or more to all of the first and second portions 63a, 63b can be configured as stacked combination apertures of the type described above. For example, the threaded surface 69 of the panel body 42 and the transversely unthreaded outer surface 67 disposed laterally outwardly of the threaded surface 69 can define one or more far End perforations 63. The unthreaded surface 67 can be spaced from the threaded surface 63 along the transverse direction T. Thus, the compression screw can be inserted through the perforation 63 and driven into the underlying bone such that the unthreaded head abuts against the transverse unthreaded outer surface 67. Alternatively, the locking screw can be inserted through the perforation 63 and driven into the underlying bone such that the threaded head mates with the transversely threaded inner surface 69 of one of the portions 63a, 63b. Thus, each of the distal perforations 63 can be configured to selectively accept a compression screw or a locking screw. The first portion 63a may be defined by a first curved threaded inner surface 69a portion and the second portion 63b may be defined by a second curved threaded inner surface 69b portion. Each of the first portion 63a and the second portion 63b can define a substantially unthreaded outer region 90, as well as a threaded inner region 92. The inner region 92 can be configured closer to the inner surface 52 of the bone plate body 42 than the outer region 90.

接骨板主體42可定義連接於至少一遠端穿孔63的第一部份63a、第二部份63b之間的頸部82。如上述,第一部份63a與第二部份63b中之每一者經組態成可個別接受骨錨。頸部82定義在第一方向80呈實質平坦的至少一實質平坦無螺紋表面71。第一方向80可傾斜、平行或垂直於縱向方向L。在圖示具體實施例中,頸部82包含在第二方向84相互隔開的兩個實質平坦表面71。第二方向84可實質垂直於第一方向80。可預見第二方向84可傾斜、平行或垂直於縱向方向L。實質平坦表面71可沿著橫向方向T伸長。實質平坦表面71沿著第一方向80分離部份定義第一部份63a的螺紋表面69a與部份定義第二部份63b的螺紋表面69。第一部 份63a因此在第一方向80可與第二部份63b隔開。例如,一穿孔63可包含在縱向方向L及側向方向A者相互隔開的兩個相反實質平坦表面71。該等實質平坦表面71配置於第一部份63a、第二部份63b之間以避開第一部份63a、63b之間的尖銳邊緣,從而最小化在旋轉骨錨穿過穿孔63時出現的毛邊或殘渣。在圖示具體實施例中,接骨板40的一或更多穿孔,例如遠端穿孔63,為雙螺紋穿孔。第一螺紋表面69a也可稱作第一螺紋s,以及第二螺紋表面69b也可稱作第二螺紋。因此,接骨板主體42包含配置於第一部份63a四周的第一螺紋69a以及配置於第二部份63b四周的第二螺紋69b。第一螺紋69a與第二螺紋69b用頸部82隔開使得第一螺紋69a不重疊第二螺紋69b。 The bone plate body 42 can define a neck portion 82 that is coupled between the first portion 63a and the second portion 63b of the at least one distal perforation 63. As described above, each of the first portion 63a and the second portion 63b is configured to individually accept a bone anchor. The neck 82 defines at least one substantially flat, unthreaded surface 71 that is substantially flat in the first direction 80. The first direction 80 can be inclined, parallel or perpendicular to the longitudinal direction L. In the illustrated embodiment, the neck 82 includes two substantially planar surfaces 71 that are spaced apart from one another in the second direction 84. The second direction 84 can be substantially perpendicular to the first direction 80. It is foreseen that the second direction 84 can be inclined, parallel or perpendicular to the longitudinal direction L. The substantially flat surface 71 can be elongated in the lateral direction T. The substantially flat surface 71 along the first direction 80 separates the portion defining the threaded surface 69a of the first portion 63a from the threaded surface 69 defining the second portion 63b. First The portion 63a can thus be spaced apart from the second portion 63b in the first direction 80. For example, a perforation 63 can include two opposing substantially planar surfaces 71 that are spaced apart from each other in the longitudinal direction L and the lateral direction A. The substantially flat surfaces 71 are disposed between the first portion 63a and the second portion 63b to avoid sharp edges between the first portions 63a, 63b, thereby minimizing occurrence of the rotation of the bone anchor through the perforations 63. Raw edges or residue. In the illustrated embodiment, one or more perforations of the bone plate 40, such as the distal perforations 63, are double threaded perforations. The first threaded surface 69a may also be referred to as a first thread s, and the second threaded surface 69b may also be referred to as a second thread. Therefore, the bone plate main body 42 includes a first thread 69a disposed around the first portion 63a and a second thread 69b disposed around the second portion 63b. The first thread 69a and the second thread 69b are separated by a neck 82 such that the first thread 69a does not overlap the second thread 69b.

頸部82可定義實質垂直於第一方向80的最大橫截面尺寸C1。在圖示具體實施例中,最大橫截面尺寸C1可沿著第二方向84由一實質平坦表面71延伸至另一實質平坦表面71。沿著第二方向84由一實質平坦表面71延伸至另一實質平坦表面71的其他尺寸都不大於最大橫截面尺寸C1。每個遠端穿孔63可定義沿著第二方向84由第一端86延伸至第二端88的最大橫截面尺寸C2。沿著第二方向84由第一端86延伸至第二端88的其他尺寸都不大於最大橫截面尺寸C2。遠端穿孔63的最大橫截面尺寸C2也可為第一部份63a與第二部份63中之每一者的最大橫截面尺寸。不過,第一部份63a與 第二部份63b可具有不同的最大橫截面尺寸。在圖示具體實施例中,頸部82的橫截面尺寸C1小於第一部份63a與第二部份63b中之每一者的最大橫截面尺寸C2。第一部份63a與第二部份63b可彼此以頸部82為中心呈對稱。 The neck 82 can define a maximum cross-sectional dimension C1 that is substantially perpendicular to the first direction 80. In the illustrated embodiment, the largest cross-sectional dimension C1 may extend from a substantially planar surface 71 to another substantially planar surface 71 along the second direction 84. Other dimensions extending from a substantially planar surface 71 to another substantially planar surface 71 along the second direction 84 are no greater than the largest cross-sectional dimension C1. Each distal perforation 63 can define a maximum cross-sectional dimension C2 that extends from the first end 86 to the second end 88 along the second direction 84. Other dimensions extending from the first end 86 to the second end 88 along the second direction 84 are no greater than the largest cross-sectional dimension C2. The maximum cross-sectional dimension C2 of the distal perforations 63 may also be the largest cross-sectional dimension of each of the first portion 63a and the second portion 63. However, the first part 63a and The second portion 63b can have a different maximum cross-sectional dimension. In the illustrated embodiment, the cross-sectional dimension C1 of the neck portion 82 is less than the largest cross-sectional dimension C2 of each of the first portion 63a and the second portion 63b. The first portion 63a and the second portion 63b may be symmetrical with each other about the neck 82.

在操作期間,接骨螺絲可***遠端穿孔63中選定之至少一或更多至所有以便使遠端部份50固定至底下掌骨34。例如,接骨螺絲可鑽入穿過遠端穿孔63中與底下掌骨34充分對齊者。例如,接骨螺絲可選擇性地***給定遠端穿孔63的第一及/或第二部份63a、63b中之一者,例如取決於部份63a、63b中那一個比較好與底下掌骨34對齊。因此,接骨板40包含遠端相互隔開之穿孔63的橫列64、66,側向相互隔開的穿孔63,以及遠端相互隔開距離小於橫列64、66而且側向相互隔開距離小於側向毗鄰穿孔63間之距離的部份63a、63b。在圖示具體實施例中,穿孔63的第一橫列64可與穿孔63的第二橫列64沿著縱向方向L隔開。第二橫列66的遠端穿孔63中之至少一可定位成可與第一橫列64的遠端穿孔63中之一個對齊同一個掌骨34。因此,遠端穿孔63中之至少兩個經組態成在近端部份46配置於橈骨24上以及遠端部份50配置於掌骨34上時,可與同一個掌骨34對齊。在圖示具體實施例中,第一橫列64中之兩個穿孔63與第二橫列66中之兩個穿孔63縱向對齊。因此,操作時,一骨錨可插穿板主體42以 及進入第二掌骨34b,兩個骨錨可插穿板主體42以及進入第三掌骨34c,兩個骨錨可插穿板主體42以及進入第四掌骨34d,以及一骨錨可插穿板主體42以及進入第五掌骨34e。 During operation, the bone screw can be inserted into at least one or more of all of the distal perforations 63 to secure the distal portion 50 to the underlying metacarpal bone 34. For example, the bone screw can be drilled through the distal perforation 63 to be sufficiently aligned with the underlying metacarpal bone 34. For example, the bone screw can be selectively inserted into one of the first and/or second portions 63a, 63b of a given distal perforation 63, for example depending on which of the portions 63a, 63b is better than the lower metacarpal 34 Align. Thus, the bone plate 40 includes rows 64, 66 of distally spaced apart perforations 63, laterally spaced apart perforations 63, and distal ends spaced apart from each other by a distance less than the rows 64, 66 and laterally spaced apart from one another. The portions 63a, 63b are smaller than the distance between the laterally adjacent perforations 63. In the illustrated embodiment, the first course 64 of perforations 63 may be spaced apart from the second course 64 of perforations 63 in the longitudinal direction L. At least one of the distal perforations 63 of the second course 66 can be positioned to align with one of the distal perforations 63 of the first course 64 by the same metacarpal bone 34. Accordingly, at least two of the distal perforations 63 are configured to be aligned with the same metacarpal 34 when the proximal portion 46 is disposed on the tibia 24 and the distal portion 50 is disposed on the metacarpal 34. In the illustrated embodiment, the two perforations 63 in the first course 64 are longitudinally aligned with the two perforations 63 in the second course 66. Therefore, in operation, a bone anchor can be inserted through the plate body 42 to And entering the second metacarpal bone 34b, two bone anchors can be inserted through the plate body 42 and into the third metacarpal bone 34c, two bone anchors can be inserted through the plate body 42 and into the fourth metacarpal bone 34d, and a bone anchor can be inserted through the plate body 42 and enter the fifth metacarpal 34e.

請參考第5圖,根據一替代具體實施例,接骨板40可缺少穿孔63的第二橫列66。根據圖示具體實施例,儘管部份63a、63b向對方開放,然而應瞭解,部份63a、63b可替換地封閉以及相互隔開。在此具體實施例中,只有一個骨錨可插穿板主體42以及進入每個掌骨34。 Referring to FIG. 5, according to an alternative embodiment, the bone plate 40 can lack the second course 66 of the perforations 63. According to the illustrated embodiment, although portions 63a, 63b are open to each other, it should be understood that portions 63a, 63b are alternatively closed and spaced apart from one another. In this particular embodiment, only one bone anchor can be inserted through the plate body 42 and into each of the metacarpals 34.

參考第2D圖,板主體42定義第一或近端70以及與第一端70沿著縱向方向隔開的第二或遠端72。此外,板主體42定義沿著縱向方向L由近端70延伸至遠端72的第一長度L1。第一長度L1可在約115毫米至約125毫米之間。例如,第一長度L1可約為121.6毫米。板主體42更定義沿著縱向由近端70延伸至該等中間穿孔59中之一個之中心的第二長度L2。第二長度L2可在約84毫米至約100毫米之間。例如,該第二長度可約為92毫米。板主體42也定義由該等中間穿孔59中之一個之中心延伸至遠端72的第三長度L3。第三長度L3可在約28毫米至約32毫米之間。例如,第三長度L3可約為29.6毫米。板主體42更定義在近端部份46由一側面56延伸至相反側面56的第一最大寬度W1。第一寬度W1可在約9毫米至約13毫米之間。例 如,第一寬度W1可約為11毫米。板主體42也可定義在遠端部份50由一側面56延伸至相反側面56的第二最大寬度W2。第二最大寬度W2可在約28毫米至約34毫米之間。例如,第二最大寬度W2可約為32.6毫米。上述尺寸允許接骨板40裝在犬科動物之腕骨區20上。不過,板主體42可具有不同尺寸使得接骨板20能夠裝在較小或較大犬科動物的腕骨區上。 Referring to Figure 2D, the plate body 42 defines a first or proximal end 70 and a second or distal end 72 spaced apart from the first end 70 in the longitudinal direction. Furthermore, the plate body 42 defines a first length L1 that extends from the proximal end 70 to the distal end 72 along the longitudinal direction L. The first length L1 can be between about 115 mm and about 125 mm. For example, the first length L1 can be approximately 121.6 mm. The plate body 42 further defines a second length L2 that extends from the proximal end 70 to the center of one of the intermediate perforations 59 along the longitudinal direction. The second length L2 can be between about 84 mm and about 100 mm. For example, the second length can be about 92 mm. The plate body 42 also defines a third length L3 that extends from the center of one of the intermediate perforations 59 to the distal end 72. The third length L3 can be between about 28 mm and about 32 mm. For example, the third length L3 can be approximately 29.6 mm. The plate body 42 is further defined as a first maximum width W1 at which the proximal portion 46 extends from a side 56 to the opposite side 56. The first width W1 can be between about 9 mm and about 13 mm. example For example, the first width W1 may be approximately 11 mm. The plate body 42 can also define a second maximum width W2 that extends from the side 56 to the opposite side 56 of the distal portion 50. The second maximum width W2 can be between about 28 mm and about 34 mm. For example, the second maximum width W2 can be approximately 32.6 mm. The above dimensions allow the bone plate 40 to be mounted on the carpal region 20 of the canine. However, the plate body 42 can be of different sizes such that the bone plate 20 can be mounted on the wrist region of a smaller or larger canine.

請參考第6A至6C圖,圖示接骨板40與第2A圖至第2D圖的接骨板實質類似。不過,在此具體實施例中,接骨板40包含遠端穿孔的第三群組78,其係與遠端穿孔63的第一群組74沿著縱向方向L隔開。遠端穿孔63的第三群組78可配置於遠端穿孔63的第一群組74、第二群組76之間。在圖示具體實施例中,可將第三群組78組態成為穿孔63的第三橫列68。為了適應穿孔63的第三橫列68,此具體實施例的板主體42之第一長度L1可比第2D圖之板主體的長些。穿孔63的第三橫列68與第一橫列64及第二橫列66縱向隔開。具體言之,第三橫列68可配置於穿孔63的第一橫列64、第二橫列66之間。遠端穿孔63可沿著側向方向A相互隔開。在圖示具體實施例中,第三橫列68包含兩個遠端穿孔63。不過,第三橫列68可包含更多或更少個穿孔63。第三橫列68的遠端穿孔63側向相互隔開一段距離,該距離大於第一橫列64之側向毗鄰穿孔63之間的距離。同樣,第三橫列68的遠端穿孔63側向相 互隔開一段距離,該距離大於第二橫列66之側向毗鄰穿孔之間的距離。第一橫列64的至少一穿孔63可與第三橫列68之一穿孔63縱向對齊。因此,兩個骨錨可插穿板主體42以及進入同一個掌骨34。第一橫列64的至少一穿孔63可與第二橫列66的一穿孔63縱向對齊。因此,遠端穿孔63經組態成可彼此相對地設置使得在遠端部份50配置於掌骨34上以及近端部份46配置於橈骨24上時,兩個穿孔63各自與至少4個不同掌骨34中之至少一不同者實質對齊。 Referring to Figures 6A through 6C, the bone plate 40 is shown to be substantially similar to the bone plates of Figures 2A through 2D. However, in this particular embodiment, the bone plate 40 includes a third group 78 of distal perforations that are spaced apart from the first group 74 of distal perforations 63 in the longitudinal direction L. A third group 78 of distal perforations 63 can be disposed between the first group 74, the second group 76 of distal perforations 63. In the illustrated embodiment, the third group 78 can be configured as a third row 68 of perforations 63. To accommodate the third course 68 of the perforations 63, the first length L1 of the panel body 42 of this embodiment may be longer than the panel body of the 2D diagram. The third course 68 of perforations 63 is longitudinally spaced from the first course 64 and the second course 66. In particular, the third course 68 can be disposed between the first course 64 and the second course 66 of the perforations 63. The distal perforations 63 can be spaced apart from each other along the lateral direction A. In the illustrated embodiment, the third course 68 includes two distal perforations 63. However, the third course 68 can include more or fewer perforations 63. The distal perforations 63 of the third course 68 are laterally spaced apart from each other by a distance greater than the distance between the lateral adjacent perforations 63 of the first course 64. Similarly, the distal perforations 63 of the third course 68 are laterally oriented. The distances are separated by a distance greater than the distance between the laterally adjacent perforations of the second course 66. At least one perforation 63 of the first course 64 can be longitudinally aligned with one of the perforations 63 of the third course 68. Thus, two bone anchors can be inserted through the plate body 42 and into the same metacarpal bone 34. At least one perforation 63 of the first course 64 can be longitudinally aligned with a perforation 63 of the second course 66. Accordingly, the distal perforations 63 are configured to be disposed opposite each other such that when the distal portion 50 is disposed on the metacarpal 34 and the proximal portion 46 is disposed on the tibia 24, the two perforations 63 are each different from at least four At least one of the different metacarpals 34 is substantially aligned.

增加遠端穿孔63的第三橫列68使得至少兩個接骨螺絲能夠插穿板主體42以及進入掌骨34中固定至接骨板40的每一個。例如,兩個骨錨可插穿板主體42以及進入第二掌骨34b,兩個骨錨可插穿板主體42以及進入第三掌骨34c,兩個骨錨可插穿板主體42以及進入第四掌骨34d,以及兩個骨錨可插穿板主體42以及進入第五掌骨34e。相較於習知全腕接骨板,能夠使兩個骨錨固定至附接至接骨板40的每個掌骨34使得接骨板與掌骨有更好的固定。 The third course 68 of the distal perforations 63 is increased such that at least two bone screws can be inserted through the plate body 42 and into the metacarpal 34 to each of the bone plates 40. For example, two bone anchors can be inserted through the plate body 42 and into the second metacarpal 34b, two bone anchors can be inserted through the plate body 42 and into the third metacarpal 34c, the two bone anchors can be inserted through the plate body 42 and into the fourth The metacarpal bone 34d, as well as the two bone anchors, can be inserted through the plate body 42 and into the fifth metacarpal bone 34e. Compared to conventional full wrist bone plates, the fixation of the two bone anchors to each metacarpal bone 34 attached to the bone plate 40 allows for better fixation of the bone plate and the metacarpal bone.

應瞭解,可按需要製作穿孔58、59及63的尺寸以接受有按需要任何尺寸的接骨螺絲,其係具有頭部及由頭部伸出的軸桿。例如,根據一具體實施例,可將近端穿孔58的尺寸製作成可接受軸桿直徑約有3.5毫米的接骨螺絲。可將中間穿孔59的尺寸製作成可接受軸桿直徑約有2.7毫米的螺絲,以及可將遠端穿孔53的尺 寸製作成可接受軸桿直徑約有2.4毫米的螺絲。不過,應瞭解,可按需要將穿孔58、59及63的尺寸製作成可與有任何替代尺寸的接骨螺絲配對。 It will be appreciated that the perforations 58, 59 and 63 can be sized as needed to receive a bone screw of any size as desired, having a head and a shaft extending from the head. For example, according to one embodiment, the proximal perforations 58 can be sized to accept a bone screw having a shaft diameter of about 3.5 mm. The intermediate perforation 59 can be sized to accept a screw having a shaft diameter of about 2.7 mm and a ruler that can pierce the distal end 53 The inch is made to accept a screw with a shaft diameter of about 2.4 mm. However, it should be understood that the perforations 58, 59 and 63 can be sized as needed to mate with a bone screw of any alternative size.

因此,骨骼固定套件可包含多個骨錨,例如螺絲,以及有多個骨錨穿孔的至少一接骨板40,該等骨錨穿孔經組態成可接受骨錨以便使接骨板固定至底下骨骼。該套件可包含一個以上的板主體40,例如包含穿孔63之第二橫列66的第一接骨板40,以及缺少穿孔63之第二橫列66的第二接骨板40。該骨骼固定套件更可包含在骨骼間隙28兩側上使骨骼固定板22固定至底下骨骼27的多個(例如,至少兩個)骨錨30。接骨板40可按需要由任何合適生物可相容材料製成,例如鈦,包括鈦合金、不鏽鋼、陶瓷、或聚合物,例如聚醚醚酮(PEEK)、有多孔電漿噴成之鈦塗層的鈷鉻鉬(CoCrMo),或任何合適替代材料。 Thus, the bone fixation kit can include a plurality of bone anchors, such as screws, and at least one bone plate 40 having a plurality of bone anchor perforations configured to receive a bone anchor to secure the bone plate to the underlying bone . The kit can include more than one panel body 40, such as a first bone plate 40 including a second course 66 of perforations 63, and a second bone plate 40 lacking a second course 66 of perforations 63. The bone fixation kit can further include a plurality (eg, at least two) of bone anchors 30 that secure the bone fixation plate 22 to the underlying bone 27 on both sides of the bone gap 28. The bone plate 40 can be made of any suitable biocompatible material as desired, such as titanium, including titanium alloys, stainless steel, ceramics, or polymers, such as polyetheretherketone (PEEK), titanium coated with a porous plasma spray. Layer of cobalt chromium molybdenum (CoCrMo), or any suitable alternative material.

使接骨板40固定至底下腕骨區20的一種方法包括下列步驟:使一接骨螺絲插穿該等中間穿孔59中之至少一以及各自進入近端腕骨22以便使中間部份48固定至底下骨骼,以及隨後使一接骨螺絲插穿遠端穿孔63中之至少一以及各自進入掌骨34以便使遠端部份50固定至底下骨骼。因此,接骨板40可首先在相對於橈骨24為遠端的位置固定至腕骨以便使近端腕骨22對於掌骨34的縱向運動固定。接下來,使接骨板40固定至底下腕骨區20的該方法可包含下列步驟:使一接骨螺絲 插穿近端穿孔58中之至少一以便使近端部份46固定至底下橈骨24。該方法更可包含下列步驟:在使近端部份46對於底下橈骨24的縱向運動固定之前,使橈骨24與近端腕骨22向對方壓縮。例如,接骨螺絲可鑽入穿過組合穿孔60的近端部份60a,以及接骨板40可近端平移,從而造成接骨螺絲的位置由近端部份60b的近端平移至近端部份60b的遠端。然後,可頂著板主體42上緊接骨螺絲。附加接骨螺絲也可按需要***近端穿孔58中之選定者以防橈骨24、近端腕骨22及掌骨34之間的相對運動。接骨板40的底部可帶有齒痕(scalloped)以便與底下骨骼有有限的接觸。 One method of securing the bone plate 40 to the underlying carpal region 20 includes the steps of inserting a bone screw through at least one of the intermediate holes 59 and into each of the proximal carpal bones 22 to secure the intermediate portion 48 to the underlying bone. And then a bone screw is inserted through at least one of the distal perforations 63 and each into the metacarpal bone 34 to secure the distal portion 50 to the underlying bone. Accordingly, the bone plate 40 can be first secured to the carpal bone at a location distal to the tibia 24 to secure the proximal carpal tunnel 22 for longitudinal movement of the metacarpal bone 34. Next, the method of securing the bone plate 40 to the underlying carpal region 20 can include the steps of: making a bone screw At least one of the proximal perforations 58 is inserted to secure the proximal portion 46 to the underlying tibia 24. The method may further comprise the step of compressing the tibia 24 and the proximal carpal 22 toward each other prior to securing the proximal portion 46 to the longitudinal movement of the underlying tibia 24. For example, a bone screw can be drilled through the proximal portion 60a of the combined perforation 60, and the bone plate 40 can be translated proximally, thereby causing the position of the bone screw to be translated from the proximal end of the proximal portion 60b to the proximal portion 60b. The far end. Then, the bone screw can be attached to the plate body 42. Additional bone screws can also be inserted into selected ones of the proximal perforations 58 as needed to prevent relative movement between the tibia 24, the proximal carpal 22, and the metacarpal 34. The bottom of the bone plate 40 can be scalloped to have limited contact with the underlying bone.

如上述,本揭示內容也有關於數種骨骼固定方法。在一具體實施例中,該方法包含以下步驟中之一或更多:(a)將一接骨板放在患者的一腕骨區上,該接骨板包含定義近端部份、在縱向與該近端部份隔開之遠端部份的一接骨板主體,多個穿孔延伸穿過該遠端部份,該等穿孔中之每一者包含第一部份以及與該第一部份隔開且對於該第一部份開放的第二部份,該第一及該第二部份中之每一者的組態及尺寸經製作成可個別接受一骨錨;(b)安置該接骨板主體於該腕骨區上使得該近端部份覆蓋該腕骨區之一橈骨的至少一部份以及該遠端部份覆蓋至少4個掌骨;(c)識別該等穿孔中之至少一者之該第一及該第二部份中可接受一骨錨的選定者;以及(d)使該骨錨插穿該等穿孔中之至少一者之該第一及該第 二部份中經識別選定者以便使該遠端部份附接至該等掌骨中之至少一個。該放置步驟可包括:使該等穿孔中之至少一個與該等4個掌骨中之每一者對齊。該放置步驟可包括:使該等穿孔中之至少兩個與該等4個掌骨中之每一者對齊。該等穿孔可為遠端穿孔,以及該接骨板更可在該近端區定義數個近端穿孔。該接骨螺絲可為遠端接骨螺絲,以及該方法更可包括:使一近端接骨螺絲插穿該等近端穿孔中之至少一者以及進入該橈骨以便使接骨板耦合至該橈骨。 As mentioned above, the present disclosure also relates to several methods of bone fixation. In a specific embodiment, the method comprises one or more of the following steps: (a) placing a bone plate on a wrist region of the patient, the bone plate comprising a defined proximal portion, in the longitudinal direction and the proximal portion a plate body of the distal portion of the distal portion, a plurality of perforations extending through the distal portion, each of the perforations including the first portion and spaced apart from the first portion And for the second portion of the first portion that is open, the configuration and dimensions of each of the first and second portions are made to individually accept a bone anchor; (b) the bone plate is placed The body is disposed on the wrist region such that the proximal portion covers at least a portion of one of the shins of the carpal region and the distal portion covers at least four metacarpals; (c) identifying at least one of the perforations a first and a second portion of the selected one of the bone anchors; and (d) inserting the bone anchor through the first and the first of the at least one of the perforations The selected portion is identified in the two portions to attach the distal portion to at least one of the metacarpals. The placing step can include aligning at least one of the perforations with each of the four metacarpals. The placing step can include aligning at least two of the perforations with each of the four metacarpals. The perforations can be distal perforations, and the plate can define a plurality of proximal perforations in the proximal region. The bone screw can be a distal bone screw, and the method can further include inserting a proximal bone screw through at least one of the proximal perforations and into the tibia to couple the bone plate to the tibia.

已提出與圖示實施例有關的具體實施例舉例說明,然而本發明不希望因此受限於該等揭示具體實施例。例如,可設想到可用以上在說明腕骨區時提及的方式實質將關節固定接骨板40固定至四足動物的跗骨區(tarsal region)。此外,上述具體實施例的結構及特徵可應用於本文所描述的其他具體實施例,除非另有說明。因此,因此,熟諳此藝者會發現本發明旨在涵蓋落在本發明精神及範疇內的所有修改及替代配置,例如陳述於隨附申請專利範圍的。 The specific embodiments of the present invention have been described by way of example, but the invention is not intended to be limited to the specific embodiments disclosed. For example, it is contemplated that the articular fixation plate 40 can be substantially secured to the tarsal region of the tetrapod in the manner described above in the description of the carpal region. Furthermore, the structures and features of the above-described specific embodiments are applicable to other specific embodiments described herein unless otherwise stated. Therefore, it is intended that the present invention cover the modifications and alternatives

20‧‧‧腕骨區 20‧‧‧Carpal bone area

21‧‧‧腕骨 21‧‧‧Carpal bone

22‧‧‧近端腕骨 22‧‧‧ proximal carpal bone

24‧‧‧橈骨 24‧‧‧桡骨骨

26‧‧‧尺骨 26‧‧‧ ulna

27‧‧‧骨骼 27‧‧‧ bones

28‧‧‧徑向腕骨 28‧‧‧radial carpal bone

30‧‧‧尺側腕骨 30‧‧‧ ulnar carpal bone

32‧‧‧遠端腕骨 32‧‧‧ distal carpal bone

34‧‧‧掌骨 34‧‧‧Bone bone

34a‧‧‧第一掌骨 34a‧‧‧First metacarpal

34b‧‧‧第二掌骨 34b‧‧‧Second metacarpal

34c‧‧‧第三掌骨 34c‧‧‧ Third metacarpal

34d‧‧‧第四掌骨 34d‧‧‧four metacarpal

34e‧‧‧第五掌骨 34e‧‧‧ fifth metacarpal

40‧‧‧全腕關節固定接骨板 40‧‧‧Full wrist joint plate

42‧‧‧板主體 42‧‧‧ board main body

44‧‧‧中央縱軸 44‧‧‧Central vertical axis

46‧‧‧近端部份 46‧‧‧ Near-end part

48‧‧‧中間部份 48‧‧‧ middle part

49‧‧‧彎曲部 49‧‧‧Bend

50‧‧‧遠端部份 50‧‧‧ distal part

52‧‧‧面向骨骼之內表面 52‧‧‧ facing the inner surface of the bone

54‧‧‧外表面 54‧‧‧ outer surface

56‧‧‧側面 56‧‧‧ side

58‧‧‧第一多個近端穿孔 58‧‧‧The first plurality of proximal perforations

59‧‧‧第二多個中間穿孔 59‧‧‧Second number of intermediate perforations

59a‧‧‧中央中間穿孔 59a‧‧‧Central intermediate piercing

59b、59c‧‧‧第一及第二中間穿孔外側對子 59b, 59c‧‧‧ first and second intermediate perforated outer pair

60‧‧‧組合穿孔 60‧‧‧Combination perforation

60a‧‧‧第一或近端部份 60a‧‧‧ first or near part

60b‧‧‧第二或遠端部份 60b‧‧‧second or remote part

62‧‧‧堆疊組合孔 62‧‧‧Stacked combination holes

62a‧‧‧橫向無螺紋外表面 62a‧‧‧Transverse unthreaded outer surface

62b‧‧‧橫向帶螺紋內表面 62b‧‧‧transverse threaded inner surface

63‧‧‧第三多個遠端穿孔 63‧‧‧The third plurality of distal perforations

63a、63b‧‧‧第一、第二部份 63a, 63b‧‧‧ first and second parts

64、66‧‧‧橫列 64, 66‧‧‧

65‧‧‧凹陷區域 65‧‧‧ recessed area

67‧‧‧橫向無螺紋外表面 67‧‧‧Transverse unthreaded outer surface

69‧‧‧螺紋表面 69‧‧‧ thread surface

69a、69b‧‧‧第一、第二弧形螺紋內表面 69a, 69b‧‧‧ first and second curved threaded inner surfaces

70‧‧‧第一或近端 70‧‧‧ first or near end

71‧‧‧實質平坦無螺紋表面 71‧‧‧Substantially flat, unthreaded surface

72‧‧‧第二或遠端 72‧‧‧second or far

74、76、78‧‧‧第一、第二、第三群組 74, 76, 78‧‧‧ first, second and third groups

80‧‧‧第一方向 80‧‧‧First direction

82‧‧‧頸部 82‧‧‧ neck

84‧‧‧第二方向 84‧‧‧second direction

86、88‧‧‧第一、第二端 86, 88‧‧‧ first and second ends

90‧‧‧外區 90‧‧‧Outside

92‧‧‧內區 92‧‧‧ Inner District

L1、L2、L3‧‧‧第一、第二、第三長度 L1, L2, L3‧‧‧ first, second and third length

A‧‧‧側向 A‧‧‧ lateral

L‧‧‧縱向 L‧‧‧ portrait

T‧‧‧橫向 T‧‧‧ Landscape

W1‧‧‧第一最大寬度 W1‧‧‧ first maximum width

W2‧‧‧第二最大寬度 W2‧‧‧ second maximum width

閱讀時結合附圖可更加明白以上的概述及以下本申請案示範實施例的詳細說明,圖示於附圖的示範實施例係僅供圖解說明。不過,應瞭解,本申請案不受限於圖示的確切配置及工具。 The above summary, as well as the following detailed description of exemplary embodiments of the invention, However, it should be understood that the application is not limited to the exact configuration and instrumentality shown.

第1圖為犬科動物之左腕骨的俯視圖; 第2A圖根據一具體實施例圖示全腕關節固定接骨板的透視圖;第2B圖的俯視圖圖示放在待固定腕骨上的第2A圖之全腕關節固定接骨板;第2C圖為第2B圖之全腕關節固定接骨板的側面圖;第2D圖為第2B圖之全腕關節固定接骨板的俯視圖,其係包含根據一具體實施例的尺寸(毫米),應瞭解該等尺寸可按需要以任何方式不同而與全腕關節固定接骨板符合;第3圖為第2B圖之全腕關節固定接骨板的部份俯視圖;第4A圖的放大俯視圖圖示第3圖之全腕關節固定接骨板的遠端部份,其係顯示遠端穿孔;第4B圖的放大透視圖圖示第4A圖之全腕關節固定接骨板的遠端部份,其係顯示遠端穿孔;第5圖的俯視圖圖示與第2A圖至第3圖之接骨板類似但是根據替代具體實施例構成的全腕關節固定接骨板;第6A圖根據一具體實施例圖示全腕關節固定接骨板的透視圖;第6B圖的俯視圖圖示放在待固定腕骨上的第6A圖之全腕關節固定接骨板;以及第6C圖為第6B圖之全腕關節固定接骨板的側面 圖。 Figure 1 is a top view of the left carpal bone of a canine; 2A illustrates a perspective view of a full wrist joint fixation plate according to a specific embodiment; a top view of FIG. 2B illustrates a full wrist joint fixation plate of FIG. 2A placed on a carpal bone to be fixed; FIG. 2C is a 2B is a side view of the full wrist joint fixation plate; FIG. 2D is a top view of the full wrist joint fixation plate of FIG. 2B, including dimensions (mm) according to a specific embodiment, which should be understood In all cases, it conforms to the full wrist joint fixation plate in any way; Figure 3 is a partial plan view of the full wrist joint fixation plate of Fig. 2B; and an enlarged top view of Fig. 4A shows the full wrist joint of Fig. 3 The distal portion of the fixed plate, which shows the distal perforation; the enlarged perspective view of FIG. 4B shows the distal portion of the full wrist articular fixation plate of FIG. 4A, which shows the distal perforation; The top view of the figure illustrates a full wrist joint fixation plate similar to the bone plates of Figs. 2A-3, but constructed in accordance with an alternative embodiment; FIG. 6A illustrates a perspective view of a full wrist articular fixation plate in accordance with an embodiment. Figure; top view of Figure 6B is placed The full wrist joint fixation plate of Fig. 6A to be fixed on the carpal bone; and Fig. 6C is the side of the full wrist joint fixation plate of Fig. 6B Figure.

40‧‧‧全腕關節固定接骨板 40‧‧‧Full wrist joint plate

42‧‧‧板主體 42‧‧‧ board main body

44‧‧‧中央縱軸 44‧‧‧Central vertical axis

46‧‧‧近端部份 46‧‧‧ Near-end part

48‧‧‧中間部份 48‧‧‧ middle part

49‧‧‧彎曲部 49‧‧‧Bend

50‧‧‧遠端部份 50‧‧‧ distal part

52‧‧‧面向骨骼之內表面 52‧‧‧ facing the inner surface of the bone

54‧‧‧外表面 54‧‧‧ outer surface

56‧‧‧側面 56‧‧‧ side

58‧‧‧第一多個近端穿孔 58‧‧‧The first plurality of proximal perforations

59‧‧‧第二多個中間穿孔 59‧‧‧Second number of intermediate perforations

59a‧‧‧中央中間穿孔 59a‧‧‧Central intermediate piercing

59b、59c‧‧‧第一及第二中間穿孔外側對子 59b, 59c‧‧‧ first and second intermediate perforated outer pair

60‧‧‧組合穿孔 60‧‧‧Combination perforation

60a‧‧‧第一或近端部份 60a‧‧‧ first or near part

60b‧‧‧第二或遠端部份 60b‧‧‧second or remote part

62‧‧‧堆疊組合孔 62‧‧‧Stacked combination holes

62a‧‧‧橫向無螺紋外表面 62a‧‧‧Transverse unthreaded outer surface

62b‧‧‧橫向帶螺紋內表面 62b‧‧‧transverse threaded inner surface

63‧‧‧第三多個遠端穿孔 63‧‧‧The third plurality of distal perforations

64、66‧‧‧橫列 64, 66‧‧‧

65‧‧‧凹陷區域 65‧‧‧ recessed area

70‧‧‧第一或近端 70‧‧‧ first or near end

72‧‧‧第二或遠端 72‧‧‧second or far

74、76‧‧‧第一、第二群組 74, 76‧‧‧ first and second groups

Claims (34)

一種經組態成可附接至患者之腕骨區的關節固定接骨板,該關節固定接骨板包含:沿著在一縱向方向延伸的縱向軸伸長的一接骨板主體(bone plate body),該接骨板主體定義一面向骨骼之內表面以及沿著一垂直於該縱向方向的橫向方向與該內表面隔開的一相反外表面,該接骨板主體包含一近端部份以及一沿著實質垂直於該橫向方向之該縱向方向與該近端部份在一遠端方向隔開的遠端部份,該近端部份經組態成可設置於該腕骨區之一橈骨(radius)上,該遠端部份經組態成可設置於該腕骨區的數個掌骨上;其中1)該接骨板主體在該遠端部份定義由該外表面延伸至該內表面的多個穿孔,該等多個穿孔中之一群組包含沿著實質垂直於該縱向方向及該橫向方向的一側向方向相互隔開之個別的穿孔,使得在該遠端部份設置於該等掌骨上以及該近端部份設置於該橈骨上時,該群組中之每一穿孔各自與至少4個不同掌骨中之至少一不同掌骨實質對齊;以及2)該群組之該等穿孔中之每一穿孔包含一第一部份以及一沿著一各個穿孔軸對於該第一部份開放的第二部份,且該等穿孔中之每一穿孔係沿著該各個穿孔軸伸長,該第一部份相對於該第二部份偏移,該群組之每一個別穿孔之該第一及該第二 部份中之每一部份經組態成可單獨沿著與該穿孔軸相交(intersect)之個別的第一及第二中央軸接受一骨錨以便使該接骨板主體之該遠端部份附接至4個各個不同掌骨,使得該群組的一個別穿孔的一第一及第二部份中之至少一者係由一部份螺紋表面定義;以及3)該等穿孔的群組的個別穿孔包含設置於該縱向軸相反側之第一及第二穿孔,使得當在該遠端方向延伸時,該第一及第二穿孔中之每一者的穿孔軸延伸離開該縱向軸。 An arthrodesis plate configured to be attachable to a wrist region of a patient, the arthrodesis plate comprising: a bone plate body extending along a longitudinal axis extending in a longitudinal direction, the bone plate The plate body defines an inner surface facing the bone and an opposite outer surface spaced from the inner surface along a transverse direction perpendicular to the longitudinal direction, the bone plate body including a proximal portion and a substantially perpendicular The longitudinal direction of the transverse direction and the distal end portion of the proximal portion spaced apart in a distal direction, the proximal portion configured to be disposed on a radius of the wrist region, the The distal portion is configured to be disposed on a plurality of metacarpals of the wrist region; wherein: 1) the bone plate body defines a plurality of perforations extending from the outer surface to the inner surface at the distal portion, One of the plurality of perforations includes individual perforations spaced apart from one another in a direction substantially perpendicular to the longitudinal direction and the lateral direction such that the distal portion is disposed on the metacarpals and the proximal portion When the end portion is placed on the tibia Each of the perforations in the group is each aligned with at least one different metacarpal parenchyma of at least 4 different metacarpals; and 2) each of the perforations of the group includes a first portion and a a second portion of each of the perforation axes that is open to the first portion, and each of the perforations is elongated along the respective perforation axes, the first portion being offset relative to the second portion, The first and second of each individual perforation of the group Each of the portions is configured to receive a bone anchor individually along the respective first and second central axes intersecting the perforation axis to cause the distal portion of the plate body Attached to each of the four different metacarpals such that at least one of the first and second portions of the other perforation of the group is defined by a portion of the threaded surface; and 3) the group of perforations The individual perforations include first and second perforations disposed on opposite sides of the longitudinal axis such that when extending in the distal direction, the perforation axis of each of the first and second perforations extends away from the longitudinal axis. 如申請專利範圍第1項之關節固定接骨板,其中該第一部份在該縱向方向及該側向方向都相對於該第二部份偏移。 The articular fixation plate of claim 1, wherein the first portion is offset relative to the second portion in both the longitudinal direction and the lateral direction. 如申請專利範圍第1項之關節固定接骨板,其中該等多個穿孔為多個遠端穿孔,以及該接骨板更包含在該近端部份由該外表面延伸至該內表面的多個近端穿孔,每個近端穿孔係經組態成可接受一骨錨以便使該接骨板主體之該近端部份附接至該橈骨。 The articular fixation plate of claim 1, wherein the plurality of perforations are a plurality of distal perforations, and the plate further comprises a plurality of distal portions extending from the outer surface to the inner surface. Proximal perforations, each proximal perforation configured to receive a bone anchor to attach the proximal portion of the plate body to the tibia. 如申請專利範圍第3項之關節固定接骨板,其中該等近端穿孔沿著該縱向方向相互隔開。 The articular fixation plate of claim 3, wherein the proximal perforations are spaced apart from each other along the longitudinal direction. 如申請專利範圍第3項之關節固定接骨板,其中該接骨板主體更包含配置於該近端及該遠端部份之間以及與彼等部份縱向隔開的一中間部份,以及該中間部份經組態成在該近端部份設置於該橈骨上以及該遠端部份設置於該等掌骨上時,可設置於該 腕骨區之一徑向腕骨及一尺側腕骨上。 The articular fixation plate of claim 3, wherein the bone plate body further comprises an intermediate portion disposed between the proximal end and the distal portion and longitudinally spaced from the portion thereof, and The intermediate portion is configured to be disposed when the proximal portion is disposed on the tibia and the distal portion is disposed on the metacarpals One of the carpal bone regions is a radial carpal bone and a one-foot carpal bone. 如申請專利範圍第5項之關節固定接骨板,其中該中間部份包含多個中間穿孔,該等中間穿孔中之每一者經組態成可接受一骨錨,以便使該接骨板之該中間部份附接至該徑向腕骨及該尺側腕骨。 A joint fixation bone plate according to claim 5, wherein the intermediate portion includes a plurality of intermediate perforations, each of the intermediate perforations being configured to receive a bone anchor so that the bone plate is The intermediate portion is attached to the radial carpal bone and the ulnar carpal bone. 如申請專利範圍第6項之關節固定接骨板,其中該等中間穿孔沿著該側向方向相互隔開,使得在該接骨板主體設置於該腕骨區上時,至少一中間穿孔與該徑向腕骨對齊以及另一中間穿孔與該尺側腕骨對齊。 The articular fixation plate of claim 6, wherein the intermediate perforations are spaced apart from each other along the lateral direction such that at least one intermediate perforation and the radial direction are provided when the plate body is disposed on the carpal region The carpal bone alignment and another intermediate perforation are aligned with the ulnar carpal bone. 如申請專利範圍第1項之關節固定接骨板,其中該部份螺紋表面包含部份定義該等穿孔中之至少一者之該第一部份的一第一螺紋表面,部份定義該等穿孔中之至少一者之該第二部份的一第二螺紋表面,以及設置於該第一及該第二螺紋表面之間以便使該第一部份與該第二部份分離的一實質平坦表面。 The articular fixation plate of claim 1, wherein the portion of the threaded surface comprises a first threaded surface defining a portion of the first portion defining at least one of the perforations, the portion defining the perforations a second threaded surface of the second portion of at least one of the first portion and a substantially flat surface disposed between the first and second threaded surfaces to separate the first portion from the second portion surface. 如申請專利範圍第1項之關節固定接骨板,其中該等多個穿孔之該群組為沿著該側向方向延伸的一第一橫列。 The articular fixation plate of claim 1, wherein the group of the plurality of perforations is a first course extending along the lateral direction. 如申請專利範圍第1項之關節固定接骨板,其中該群組為一第一群組,以及該等多個穿孔包含與該第一群組沿著該縱向方向隔開的一第二群組。 The joint fixation bone plate of claim 1, wherein the group is a first group, and the plurality of perforations comprise a second group spaced apart from the first group along the longitudinal direction . 如申請專利範圍第10項之關節固定接骨板,其中 該多個穿孔中的該等穿孔中之至少兩個經組態成:在該近端部份設置於該橈骨上以及該遠端部份設置於該等掌骨上時,與同一個掌骨對齊。 For example, the joint fixed bone plate of claim 10, wherein At least two of the plurality of perforations are configured to align with the same metacarpal bone when the proximal portion is disposed on the tibia and the distal portion is disposed on the metacarpal. 如申請專利範圍第10項之關節固定接骨板,其中該等多個穿孔包含與該第一及該第二群組沿著該縱向方向隔開的一第三穿孔群組,以及該第三穿孔群組設置於該第一穿孔群組與該第二穿孔群組之間。 The articular fixation plate of claim 10, wherein the plurality of perforations comprise a third perforation group spaced apart from the first and second groups along the longitudinal direction, and the third perforation The group is disposed between the first punch group and the second punch group. 如申請專利範圍第1項之關節固定接骨板,其中該近端部份沿著該橫向方向相對於該遠端部份偏移。 The articular fixation plate of claim 1, wherein the proximal portion is offset relative to the distal portion along the lateral direction. 如申請專利範圍第1項之關節固定接骨板,其中該近端部份沿著該橫向方向相對於一中間部份偏移。 The articular fixation plate of claim 1, wherein the proximal portion is offset relative to an intermediate portion along the lateral direction. 如申請專利範圍第1項之關節固定接骨板,其中該接骨板主體定義一螺紋表面與一無螺紋表面,其合作定義該多個穿孔中之至少一穿孔,以及該無螺紋表面沿著該橫向方向與該螺紋表面隔開。 The articular fixation plate of claim 1, wherein the bone plate body defines a threaded surface and an unthreaded surface that cooperate to define at least one of the plurality of perforations, and the unthreaded surface along the transverse direction The direction is spaced from the threaded surface. 如申請專利範圍第1項之關節固定接骨板,其中該接骨板主體更定義一對個別的頸部,其在個別的穿孔中之每一穿孔的第一部份及第二部份之間連接,每一頸部定義至少一實質平坦無螺紋表面,其沿著該橫向方向及一第一方向係實質平坦,該第一方向實質平行於該穿孔軸。 The articular fixation plate of claim 1, wherein the bone plate body further defines a pair of individual neck portions connected between the first portion and the second portion of each of the individual perforations Each neck defines at least one substantially flat, unthreaded surface that is substantially flat along the transverse direction and a first direction that is substantially parallel to the perforation axis. 如申請專利範圍第16項之關節固定接骨板,其中該每一個別穿孔的穿孔軸在各個頸部之間等距地 (equidistantly)延伸。 An articular fixation plate according to claim 16 wherein the perforation axis of each individual perforation is equidistant between the respective necks (equidistantly) extended. 如申請專利範圍第1項之關節固定接骨板,其中每一個別穿孔的穿孔軸在各個第一及第二部份的各個幾何中心之上延伸,該接骨板主體更定義一在個別穿孔中之每一穿孔的第一及第二部份之間連接的各個頸部,該頸部定義至少一實質平坦無螺紋表面,其係沿著該橫向方向及一第一方向為實質平坦,該第一方向平行於該穿孔軸。 The articular fixation plate according to claim 1, wherein the perforation axis of each individual perforation extends over each geometric center of each of the first and second portions, and the bone plate body further defines an individual perforation. a respective neck connected between the first and second portions of each of the perforations, the neck defining at least one substantially flat unthreaded surface that is substantially flat along the transverse direction and a first direction, the first The direction is parallel to the perforation axis. 一種接骨板,其係包含:沿著一縱向方向伸長的一接骨板主體,該接骨板主體定義一面向骨骼之內表面以及一沿著一橫向方向與該內表面隔開的相反外表面,該接骨板主體定義一群組之伸長穿孔,每一個伸長穿孔由該外表面延伸至該內表面,且每一個伸長穿孔包含一第一部份以及沿著一第一方向與該第一部份隔開且對於該第一部份開放的一第二部份,該第一方向對於該縱向方向有角度偏移,其中該群組中的穿孔中之每一穿孔的該第一及該第二部份中之每一部份的組態及尺寸經製作成可個別接受一骨錨以便使該接骨板主體附接至一底下骨骼,該接骨板主體更定義連接於該群組的每一穿孔的該第一及該第二部份之間的一頸部,該頸部定義至少一實質平坦表面,其沿著該橫向方向自該內表面至該外表面為無螺紋,且沿著該第一方向及該橫向方向呈實質平 坦。 A bone plate comprising: a plate body extending along a longitudinal direction, the plate body defining an inner surface facing the bone and an opposite outer surface spaced from the inner surface in a lateral direction, the outer plate The bone plate body defines a group of elongated perforations, each elongated perforation extending from the outer surface to the inner surface, and each elongated perforation includes a first portion and is spaced apart from the first portion along a first direction Opening and a second portion open to the first portion, the first direction being angularly offset from the longitudinal direction, wherein the first and second portions of each of the perforations in the group Each portion of the portion is configured and dimensioned to individually accept a bone anchor for attaching the bone plate body to a bottom bone, the bone plate body further defining each perforation coupled to the group a neck between the first portion and the second portion, the neck defining at least one substantially flat surface along which the thread is unthreaded from the inner surface to the outer surface, and along the first The direction and the lateral direction are substantially flat Tan. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔的該第一及該第二部份中之每一部份各自定義沿著實質垂直於該第一方向之一第二方向的一最大橫截面尺寸,以及該頸部定義沿著該第二方向的一最大橫截面尺寸,使得該頸部的最大橫截面尺寸小於該第一及該第二部份中之每一部份的最大橫截面尺寸。 The bone plate of claim 19, wherein each of the first and second portions of each of the perforations of the group is defined to be substantially perpendicular to the first direction a maximum cross-sectional dimension in a second direction, and a maximum cross-sectional dimension of the neck defining the second direction such that a maximum cross-sectional dimension of the neck is less than the first and second portions The maximum cross-sectional dimension of each part. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔的第一及第二部份定義一第二方向,該第二方向係實質垂直於該第一方向,以及該第一及該第二方向對於該橫向方向有角度偏移。 The bone plate of claim 19, wherein the first and second portions of each of the perforations of the group define a second direction, the second direction being substantially perpendicular to the first direction, and The first and second directions are angularly offset from the lateral direction. 如申請專利範圍第21項之接骨板,其中該接骨板主體定義在該內表面及該外表面之間延伸的第一及第二相反側面,該第一及該第二側面沿著實質垂直於該橫向的一側向方向相互隔開,以及該第一方向沿著該側向方向延伸。 The bone plate of claim 21, wherein the bone plate body defines first and second opposite sides extending between the inner surface and the outer surface, the first and second sides being substantially perpendicular to The lateral lateral directions are spaced apart from one another and the first direction extends along the lateral direction. 如申請專利範圍第20項之接骨板,其中該接骨板主體定義在該內表面及該外表面之間延伸的第一及第二相反側面,該第一及該第二側面沿著實質垂直於該橫向的一側向方向相互隔開,以及該第一方向對於該側向方向有角度偏移。 The bone plate of claim 20, wherein the bone plate body defines first and second opposite sides extending between the inner surface and the outer surface, the first and second sides being substantially perpendicular to The lateral lateral directions are spaced apart from each other, and the first direction is angularly offset from the lateral direction. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔的該第一及該第二部份彼此以 該頸部為中心呈對稱。 The bone plate of claim 19, wherein the first and second portions of each of the perforations of the group are The neck is symmetrical about the center. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔的該第一部份對於該相同穿孔的第二部份呈凹形,以及該群組的穿孔中之每一穿孔的該第二部份對於該相同穿孔的第一部份呈凹形。 The bone plate of claim 19, wherein the first portion of each of the perforations of the group is concave for the second portion of the same perforation, and each of the perforations of the group The second portion of a perforation is concave for the first portion of the same perforation. 如申請專利範圍第25項之接骨板,其中該群組的穿孔中之每一穿孔的該第一部份呈實質弧形,以及該群組的穿孔中之每一穿孔的該第二部份呈實質弧形。 The bone plate of claim 25, wherein the first portion of each of the perforations of the group is substantially curved, and the second portion of each of the perforations of the group It is substantially curved. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔的該第一及該第二部份中之每一部份定義實質無螺紋的一外區,以及有螺紋的一內區,該內區經設置成比該外區更靠近該接骨板主體之該內表面。 The bone plate of claim 19, wherein each of the first and second portions of each of the perforations of the group defines a substantially unthreaded outer region and is threaded An inner zone disposed closer to the inner surface of the bone plate body than the outer zone. 如申請專利範圍第19項之接骨板,其中該群組的穿孔中之每一穿孔為一個雙螺紋穿孔,使得該接骨板主體包含設置於該群組的穿孔中之每一穿孔的該第一部份四周的第一螺紋以及配置於該群組的穿孔中之每一穿孔的該第二部份四周的第二螺紋,以及用該頸部隔開該等第一螺紋與該等第二螺紋使得該等第一螺紋不重疊該等第二螺紋。 The bone plate of claim 19, wherein each of the perforations of the group is a double threaded perforation such that the bone plate body comprises the first one of each perforation disposed in the perforation of the group a first thread around a portion of the circumference and a second thread disposed around the second portion of each of the perforations of the group, and separating the first thread and the second thread with the neck The first threads are not allowed to overlap the second threads. 一種經組態成可附接至患者之腕骨區的關節固定接骨板,該關節固定接骨板包含: 沿著一縱向方向伸長的一接骨板主體,該接骨板主體定義一面向骨骼之內表面以及沿著一橫向方向與該內表面隔開的一相反外表面,該接骨板主體包含一近端部份以及沿著實質垂直於該橫向方向之該縱向方向與該近端部份隔開的一遠端部份,該近端部份經組態成可設置於該腕骨區之一橈骨上,該遠端部份經組態成可設置於該腕骨區的數個掌骨上;其中該接骨板主體定義多個穿孔,1)該多個穿孔之每一者沿著一各個第一方向呈伸長狀,且2)該多個穿孔在該遠端部份由該外表面延伸至該內表面,該多個穿孔包含穿孔的一群組,該等多個穿孔中之該群組的穿孔沿著實質垂直於該縱向方向及該橫向方向的一側向方向相互隔開,使得在該遠端部份設置於該等掌骨上以及該近端部份設置於該橈骨上時,該群組中之穿孔中的每一穿孔各自與至少4個不同掌骨中至之少一各自不同掌骨實質對齊,以及該群組的該等穿孔中之每一穿孔包含一第一部份以及對於該第一部份開放的一第二部份,且該第二部份沿著該各個第一方向相對於該第一部份偏移,該群組之每一穿孔之該第一及該第二部份中之每一部份經組態成可單獨接受一骨錨以便使該接骨板主體之該遠端部份附接至4個各個不同掌骨,該接骨板主體更定義連接於每個穿孔之 該第一及該第二部份之間的一頸部,該頸部定義至少一實質平坦表面,其自該內表面至該外表面沿著該橫向方向為無螺紋,且沿著該各個第一方向及該橫向方向呈實質平坦。 An arthrodesis plate configured to be attachable to a wrist region of a patient, the arthrodesis plate comprising: a plate body extending along a longitudinal direction, the plate body defining an inner surface facing the bone and an opposite outer surface spaced from the inner surface in a lateral direction, the plate body including a proximal end And a distal portion spaced from the proximal portion along the longitudinal direction substantially perpendicular to the lateral direction, the proximal portion configured to be disposed on one of the shins of the wrist region, The distal portion is configured to be disposed on a plurality of metacarpal bones of the wrist region; wherein the bone plate body defines a plurality of perforations, 1) each of the plurality of perforations is elongated along a respective first direction And 2) the plurality of perforations extend from the outer surface to the inner surface at the distal end portion, the plurality of perforations comprising a group of perforations, the perforations of the group of the plurality of perforations being substantially The lateral direction perpendicular to the longitudinal direction and the lateral direction are spaced apart from each other such that the perforation in the group is provided when the distal end portion is disposed on the metacarpal bone and the proximal end portion is disposed on the tibia Each of the perforations is associated with at least 4 different metacarpals Each of the different metacarpal bodies is aligned, and each of the perforations of the group includes a first portion and a second portion that is open to the first portion, and the second portion is along the Each of the first directions is offset relative to the first portion, and each of the first and second portions of each of the perforations of the group is configured to accept a bone anchor separately to enable the The distal end portion of the main body of the bone plate is attached to four different metacarpals, and the main body of the bone plate is further defined to be connected to each perforation. a neck between the first portion and the second portion, the neck defining at least one substantially flat surface, the inner surface to the outer surface being unthreaded along the lateral direction, and along the respective One direction and the lateral direction are substantially flat. 如申請專利範圍第29項之關節固定接骨板,其中該實質平坦無螺紋表面為一第一實質平坦無螺紋表面,以及該接骨板主體更定義設置於該第一及該第二部份之間的一第二實質平坦無螺紋表面,該第一實質平坦無螺紋表面沿著實質垂直於該第一方向的一第二方向與該第二實質平坦無螺紋表面隔開。 The joint-fixing bone plate of claim 29, wherein the substantially flat unthreaded surface is a first substantially flat unthreaded surface, and the bone plate body is further defined between the first portion and the second portion A second substantially flat unthreaded surface spaced apart from the second substantially flat unthreaded surface in a second direction substantially perpendicular to the first direction. 如申請專利範圍第29項之關節固定接骨板,其中該多個穿孔中之至少兩個穿孔經組態成:在該接骨板主體設置於該腕骨區上時,可與該等掌骨中之一個單一掌骨實質對齊。 The articular fixation plate of claim 29, wherein at least two of the plurality of perforations are configured to: when the bone plate body is disposed on the carpal region, one of the metacarpals The single metacarpal is essentially aligned. 如申請專利範圍第29項之關節固定接骨板,其中該各個第一方向的第一個及第二個係互相平行。 The joint-fixing bone plate of claim 29, wherein the first and second lines of the respective first directions are parallel to each other. 如申請專利範圍第29項之關節固定接骨板,其中該各個第一方向的第一個及第二個係非互相平行。 The articular fixation plate according to claim 29, wherein the first and second lines of the respective first directions are not parallel to each other. 如申請專利範圍第29項之關節固定接骨板,其中各個第一方向中的每一者係與該縱向方向及側向方向兩者皆不平行,使得穿孔中之每一者係沿著該各個第一方向伸長。 The joint-fixing bone plate of claim 29, wherein each of the first directions is not parallel to the longitudinal direction and the lateral direction, such that each of the perforations is along the respective The first direction is elongated.
TW101129299A 2011-09-06 2012-08-14 Pancarpal arthrodesis bone plate TWI554242B (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US201161531243P 2011-09-06 2011-09-06

Publications (2)

Publication Number Publication Date
TW201320953A TW201320953A (en) 2013-06-01
TWI554242B true TWI554242B (en) 2016-10-21

Family

ID=46690765

Family Applications (1)

Application Number Title Priority Date Filing Date
TW101129299A TWI554242B (en) 2011-09-06 2012-08-14 Pancarpal arthrodesis bone plate

Country Status (4)

Country Link
US (2) US9107713B2 (en)
EP (1) EP2753255B1 (en)
TW (1) TWI554242B (en)
WO (1) WO2013036362A1 (en)

Families Citing this family (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2753255B1 (en) 2011-09-06 2016-08-10 DePuy Synthes Products, LLC Pancarpal arthrodesis bone plate
EP2793720B1 (en) * 2011-12-20 2017-03-08 DePuy Synthes Products, LLC Self centering feature for an intramedullary nail
US9545276B2 (en) * 2013-03-15 2017-01-17 Aristotech Industries Gmbh Fixation device and method of use for a lapidus-type plantar hallux valgus procedure
US9545277B2 (en) 2014-03-11 2017-01-17 DePuy Synthes Products, Inc. Bone plate
CA2942054A1 (en) * 2014-03-11 2015-09-17 DePuy Synthes Products, Inc. Bone plate
US10869704B2 (en) * 2014-06-30 2020-12-22 DePuy Synthes Products, Inc. Metacarpal neck plate
US10182855B2 (en) 2014-06-30 2019-01-22 DePuy Synthes Products, Inc. Phalangeal head plate
US9801670B2 (en) 2014-06-30 2017-10-31 DePuy Synthes Products, Inc. Locking first metacarpal plate
US9795425B2 (en) * 2014-06-30 2017-10-24 DePuy Synthes Products, Inc. Locking web plate
US20160045238A1 (en) * 2014-08-13 2016-02-18 Biomet C.V. Calcaneal bone plate targeting guide
US11197682B2 (en) 2015-08-27 2021-12-14 Globus Medical, Inc. Proximal humeral stabilization system
US11076898B2 (en) 2015-08-27 2021-08-03 Globus Medical, Inc. Proximal humeral stabilization system
US10687874B2 (en) 2015-08-27 2020-06-23 Globus Medical, Inc Proximal humeral stabilization system
US10130402B2 (en) 2015-09-25 2018-11-20 Globus Medical, Inc. Bone fixation devices having a locking feature
US9974581B2 (en) 2015-11-20 2018-05-22 Globus Medical, Inc. Expandable intramedullary systems and methods of using the same
EP3383295B8 (en) * 2015-12-01 2023-05-24 Revivo Medical, LLC Bone fixation apparatus with fastener securement mechanism
US10743920B2 (en) * 2015-12-08 2020-08-18 Arthrex, Inc. Bone compression plate
US9795411B2 (en) 2016-03-02 2017-10-24 Globus Medical, Inc. Fixators for bone stabilization and associated systems and methods
US10531905B2 (en) 2016-04-19 2020-01-14 Globus Medical, Inc. Implantable compression screws
US10751098B2 (en) 2016-08-17 2020-08-25 Globus Medical Inc. Stabilization systems
US10575884B2 (en) 2016-08-17 2020-03-03 Globus Medical, Inc. Fracture plates, systems, and methods
US11197701B2 (en) 2016-08-17 2021-12-14 Globus Medical, Inc. Stabilization systems
US10420596B2 (en) 2016-08-17 2019-09-24 Globus Medical, Inc. Volar distal radius stabilization system
US11213327B2 (en) 2016-08-17 2022-01-04 Globus Medical, Inc. Fracture plates, systems, and methods
US10687873B2 (en) 2016-08-17 2020-06-23 Globus Medical Inc. Stabilization systems
US11331128B2 (en) 2016-08-17 2022-05-17 Globus Medical Inc. Distal radius stabilization system
US10383668B2 (en) 2016-08-17 2019-08-20 Globus Medical, Inc. Volar distal radius stabilization system
US11141204B2 (en) 2016-08-17 2021-10-12 Globus Medical Inc. Wrist stabilization systems
US11432857B2 (en) 2016-08-17 2022-09-06 Globus Medical, Inc. Stabilization systems
US10653468B2 (en) * 2016-08-29 2020-05-19 Osteomed Llc Four corner fusion device
US10881438B2 (en) 2017-03-10 2021-01-05 Globus Medical, Inc. Clavicle fixation system
US10905477B2 (en) * 2017-03-13 2021-02-02 Globus Medical, Inc. Bone stabilization systems
US10368928B2 (en) 2017-03-13 2019-08-06 Globus Medical, Inc. Bone stabilization systems
US11096730B2 (en) 2017-09-13 2021-08-24 Globus Medical Inc. Bone stabilization systems
US10856920B2 (en) 2017-09-13 2020-12-08 Globus Medical Inc. Bone stabilization systems
EP3530224A1 (en) * 2018-02-23 2019-08-28 Medartis Holding AG Wrist arthrodesis plate
US11071570B2 (en) 2018-03-02 2021-07-27 Globus Medical, Inc. Distal tibial plating system
US11224468B2 (en) * 2018-03-02 2022-01-18 Globus Medical, Inc. Distal tibial plating system
US11141172B2 (en) 2018-04-11 2021-10-12 Globus Medical, Inc. Method and apparatus for locking a drill guide in a polyaxial hole
US11141285B2 (en) * 2018-08-06 2021-10-12 Baylor University Carpal bone fusion device and method
US11202663B2 (en) 2019-02-13 2021-12-21 Globus Medical, Inc. Proximal humeral stabilization systems and methods thereof
US11179180B2 (en) 2019-06-11 2021-11-23 DePuy Synthes Products, Inc. Deformable threaded locking structures, and related systems and methods
US11944360B2 (en) 2019-06-11 2024-04-02 DePuy Synthes Products, Inc. Deformable threaded locking structures, and related systems and methods
US11129627B2 (en) 2019-10-30 2021-09-28 Globus Medical, Inc. Method and apparatus for inserting a bone plate
US11723647B2 (en) 2019-12-17 2023-08-15 Globus Medical, Inc. Syndesmosis fixation assembly
WO2021206644A1 (en) * 2020-04-08 2021-10-14 Efa Veterinerlik Hizmetleri Tic. Ltd. Sti. Fully anatomical dorsal pantarsal arthrodesis plate designed for quadrupeds

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5853413A (en) * 1997-04-18 1998-12-29 Bristol-Myers Squibb Company Wrist fusion plate
US20080125781A1 (en) * 2006-11-28 2008-05-29 Zimmer Spine, Inc. Adjustable occipital plate
US20090171399A1 (en) * 2006-07-07 2009-07-02 Precimed, S.A. Bone Plate with Complex, Adjacent Holes Joined by a Relief-Space
US20090281543A1 (en) * 2008-05-09 2009-11-12 Skeletal Dynamics Llc Formable bone plate, clamping apparatus, osteotomy system and method for reconstructing a bone

Family Cites Families (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3114136C2 (en) * 1981-04-08 1986-02-06 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Osteosynthesis plate
US4776330A (en) * 1986-06-23 1988-10-11 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
US6221073B1 (en) * 1999-08-20 2001-04-24 Kinetikos Medical, Inc. Wrist fusion apparatus and method
CN100415182C (en) * 2000-01-27 2008-09-03 斯恩蒂斯有限公司 Bone plate
US20070173840A1 (en) * 2006-01-11 2007-07-26 Huebner Randall J Bone plate with cover
US8523919B2 (en) * 2010-09-27 2013-09-03 Acumed Llc Targeting guide with a radiopaque marker to facilitate positioning a bone plate on bone
US6406478B1 (en) * 2001-05-24 2002-06-18 Robert W. H. Kuo Bone reinforcement plate for use on the spine
US7367977B2 (en) * 2002-02-28 2008-05-06 Estrada Jr Hector Mark Apparatus for dynamic external fixation of distal radius and wrist fractures
EP1567071B1 (en) * 2002-11-19 2012-05-30 Acumed LLC Adjustable bone plates
BRPI0408769A (en) * 2003-03-26 2006-03-28 Swiss Orthopedic Solutions Sa lock bone plate
US7722653B2 (en) * 2003-03-26 2010-05-25 Greatbatch Medical S.A. Locking bone plate
US7635381B2 (en) * 2003-03-27 2009-12-22 Depuy Products, Inc. Anatomical distal radius fracture fixation plate with fixed-angle K-wire holes defining a three-dimensional surface
US8574268B2 (en) * 2004-01-26 2013-11-05 DePuy Synthes Product, LLC Highly-versatile variable-angle bone plate system
US20080045960A1 (en) * 2004-03-25 2008-02-21 Bruecker Kenneth Locking tpo plate and method of use
US8062296B2 (en) * 2005-03-17 2011-11-22 Depuy Products, Inc. Modular fracture fixation plate system with multiple metaphyseal and diaphyseal plates
US8394130B2 (en) * 2005-03-17 2013-03-12 Biomet C.V. Modular fracture fixation system
US7799061B2 (en) * 2005-01-28 2010-09-21 Orthohelix Surgical Designs, Inc. Orthopedic plate
US8177818B2 (en) * 2005-09-08 2012-05-15 Securos, Inc. Fixation plate
DE202005019277U1 (en) * 2005-10-14 2006-02-02 Stryker Leibinger Gmbh & Co. Kg Bone plate for adjustable securing broken bone together for healing has two or more holes (16) lengthened along the long axis of the plate and two or more holes lengthed at right angles to theplate long axis
US8808334B2 (en) * 2006-03-07 2014-08-19 Orthohelix Surgical Designs, Inc. Orthopedic plate
US8147530B2 (en) * 2006-03-07 2012-04-03 Orthohelix Surgical Designs, Inc. Variable axis locking mechanism for use in orthopedic implants
US8512385B2 (en) * 2006-07-07 2013-08-20 Swiss Pro Orthopedic Sa Bone plate with complex, adjacent holes joined by a bend relief zone
US20080234749A1 (en) * 2007-01-26 2008-09-25 Zimmer Technology, Inc. Bone plate providing threaded locking head screw capture
US9220546B2 (en) * 2008-01-11 2015-12-29 Trimed, Inc. Expansion and compression instrument for fracture fixation
US20090228010A1 (en) 2008-03-10 2009-09-10 Eduardo Gonzalez-Hernandez Bone fixation system
DE102008039693A1 (en) * 2008-08-26 2010-03-11 Normed Medizin-Technik Vertriebs-Gmbh Wrist arthrodesis plate and assortment
US8226695B2 (en) * 2008-10-10 2012-07-24 K2M, Inc. Occipital plate for cervical fixation
US20100179599A1 (en) * 2009-01-12 2010-07-15 Guillaume Derouet Device for reducing a bone fracture, in particular a fracture at the bone epiphyses
EP2248479B1 (en) * 2009-05-06 2012-09-19 Greatbatch Ltd. Bone plate assembly
DE202009008872U1 (en) 2009-06-26 2009-09-03 Normed Medizin-Technik Vertriebs-Gmbh Foot surgery bone plate
US8162996B2 (en) * 2009-10-28 2012-04-24 Orthopro Llc Methods for repairing bone discontinuities
DE102010025001B4 (en) * 2010-06-24 2016-08-04 Aap Implantate Ag Fixation system with bone plate and bone screw
US8906075B2 (en) * 2010-07-14 2014-12-09 DePuy Synthes Products, LLC Methods and assemblies for aligning a bone fixation plate
US9161796B2 (en) * 2010-12-18 2015-10-20 The Brigham And Women's Hospital, Inc. Medical devices for use during ankle fusion surgery
EP2675378B1 (en) * 2011-02-14 2017-12-20 Skeletal Dynamics, LLC Fracture fixation plate
WO2012174385A2 (en) * 2011-06-15 2012-12-20 Smith & Nephew, Inc. Variable angle locking implant
EP2753255B1 (en) 2011-09-06 2016-08-10 DePuy Synthes Products, LLC Pancarpal arthrodesis bone plate
US9107718B2 (en) * 2012-01-10 2015-08-18 Biomet Manufacturing, Llc Bone plate
US8790378B2 (en) * 2012-02-02 2014-07-29 Biomet C.V. Distal radius fracture fixation plate with integrated and adjustable volar ulnar facet support

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5853413A (en) * 1997-04-18 1998-12-29 Bristol-Myers Squibb Company Wrist fusion plate
US20090171399A1 (en) * 2006-07-07 2009-07-02 Precimed, S.A. Bone Plate with Complex, Adjacent Holes Joined by a Relief-Space
US20080125781A1 (en) * 2006-11-28 2008-05-29 Zimmer Spine, Inc. Adjustable occipital plate
US20090281543A1 (en) * 2008-05-09 2009-11-12 Skeletal Dynamics Llc Formable bone plate, clamping apparatus, osteotomy system and method for reconstructing a bone

Also Published As

Publication number Publication date
WO2013036362A1 (en) 2013-03-14
EP2753255A1 (en) 2014-07-16
US20150313654A1 (en) 2015-11-05
US20130211459A1 (en) 2013-08-15
EP2753255B1 (en) 2016-08-10
US9107713B2 (en) 2015-08-18
TW201320953A (en) 2013-06-01
US9743966B2 (en) 2017-08-29

Similar Documents

Publication Publication Date Title
TWI554242B (en) Pancarpal arthrodesis bone plate
US9855083B2 (en) Bone plate with elevated suture hole structures
US7905883B2 (en) Locking triple pelvic osteotomy plate and method of use
JP6827036B2 (en) Humerus Proximal Stabilization System
AU2009223517B2 (en) Bone fixation system
US8814918B2 (en) Fracture fixation plate
US6866665B2 (en) Bone fracture fixation system with subchondral and articular surface support
US20080045960A1 (en) Locking tpo plate and method of use
US20160166297A1 (en) Bone plate with elevated suture hole structures
US20050165401A1 (en) Pelvic fixation plate
US11832857B2 (en) Fracture plates, systems, and methods
ZA200602225B (en) Anatomical distal radius fracture fixation plate and methods of using the same
JP6883056B2 (en) Bone stabilization system
US20190105089A1 (en) Phalangeal Head Plate
US10575884B2 (en) Fracture plates, systems, and methods
CN209203481U (en) Pelvic pressure locking bone fracture plate
EP3398526A1 (en) Bone fracture plates und systems
EP3354217B1 (en) Fracture plates and systems
US20210244542A1 (en) Implant for fusing at least two bone components and method of fusing bone components using the implant

Legal Events

Date Code Title Description
MM4A Annulment or lapse of patent due to non-payment of fees